Template Employee Timesheet
Total Hours: ____________
Employee Time Sheet
SEMESTER: _____________ 2013 2014
Check one: ASL Interpreter Note Taker Reader/Scribe
Employee Full Name (Required): _____________________________________________________________
The student did not attend
class this week on
Course Name and Location (Required): _________________________________________________________
Employee Name (Required): _________________________________________________________________
Employee Signature (Required): _________________________________ Date: _______________________
Student Name (Required): ___________________________________________________________________
Student Signature (Required): __________________________________ Date: _______________________
Director Signature: ________________________________________ Date: _____________________
I hereby certify that the information provided is true and correct. I understand that falsification of the time records may
result in disciplinary action up to and including termination.
With few exceptions, you are entitled on your request to be informed about the information the University of Texas at El Paso collects
about you. Under Sections 552.021 and 552.023 of the Texas Government Code, you are entitled to received and review the
information. Under Section 559.004 of the Texas Government Code, you are entitled to have the University of Texas at El Paso
correct information about you that is held by us and that is incorrect, in accordance with the procedures set forth in the University of
Texas System Business Procedures Memorandum 32. The information that the University of Texas at El Paso collects will be retained
and maintained as required by Texas records retention laws (Section 441.180 et seq. of the Texas Government Code) and rules.
Different types of information are kept for different periods of time.
**Replacement forms can be access under forms at www.sa.utep.edu/cass **
IMPORTANT NOTE: Please make sure to complete all required fields. Timesheets must be submitted in a timely manner.
Failure to do so will result in no compensation.
OFFICE USE ONLY
Payment Process Date___________
Template Employee Timesheet PDF
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