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Employee Time Tracking Form

This document is a time and attendance record form for employees to record their hours worked and leave taken for each day in a pay period. It requires information such as the employee's name, position, work schedule, dates, and hours worked or leave taken each day. The employee and supervisor must sign to certify the accuracy of the recorded hours.

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mayank parekh
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137 views2 pages

Employee Time Tracking Form

This document is a time and attendance record form for employees to record their hours worked and leave taken for each day in a pay period. It requires information such as the employee's name, position, work schedule, dates, and hours worked or leave taken each day. The employee and supervisor must sign to certify the accuracy of the recorded hours.

Uploaded by

mayank parekh
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLS, PDF, TXT or read online on Scribd

Time and Attendance Record

Complete the applicableTAN portions only.


Submit a separate form for each Pay Period (1st-15th or 16th-31st).

Month/Year: Personnel Number:


Name: Agency:
Position Title: Division:
Position Included in a Bargaining Unit?
If yes, indicate union: Did You Submit An Overtime Request?
Select Your Work Schedule From The Drop Down Box Listed Below.
Work Schedule: Workweek:
Dates in Pay Period 1 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
Day of the Week
Dates in Pay Period 2 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
Day of the Week
Total Pay
Period
Program Activity (if applicable Number of Hours Worked Each Day Hours
list code(s) below)
0
0
0
0
0
Leave Taken Number of Leave Hours Taken Each Day
Annual Leave 0
Compensatory Time 0
Personal Holiday 0
State Paid Holiday 0
Leave Without Pay 0
Military Leave 0
Other 0
Shared Leave 0
Sick Leave 0
Temp. Salary Reduction Leave 0
TOTAL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

I certify the hours recorded above accurately reflect the hours I've worked or leave taken.
Date: Employee Signature:

I certify that I have verified the hours recorded with the employee and it accurately reflects the hours worked or leave taken.

OFM 12-037 (10/15/12) Time and Attendance Record (Excel)


Date: Supervisor Signature:

OFM 12-037 (10/15/12) Time and Attendance Record (Excel)

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