PLEASE PRINT and Fax to: (540) 825-1809 

   

Week Ending

         

Name:

 

Saturday:

Month

 

Day

 

Year

Social Security Number: ___ ___ ___ — ___ ___ — ___ ___ ___ ___

DAILY TIME RECORD

 

Start
Time

Lunch
Out

Lunch
Back

Finish Time

Regular Hours

Overtime Hours

Date

 

 

 

 

 

 

 

 

 

 

 

 

Sun

-

 

 

 

 

 

 

 

 

 

 

 

 

Mon

-

 

 

 

 

 

 

 

 

 

 

 

 

Tue

-

 

 

 

 

 

 

 

 

 

 

 

 

Wed

-

 

 

 

 

 

 

 

 

 

 

 

 

Thu

-

 

 

 

 

 

 

 

 

 

 

 

 

Fri

-

 

 

 

 

 

 

 

 

 

 

 

 

Sat

-

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Total
Hours

 

 

 

 

This TIME RECORD is our contract with Temporary Plus, and we are authorizing Temporary Plus to pay the employee covered by this TIME RECORD for the hours shown for work that was performed under our supervision and we agree to pay Temporary Plus the agreed upon hourly billed rate for the hours shown upon the receipt of their invoice. Overtime occurs after 40 hours in one week at one client.

This person is an employee of Temporary Plus, and is referred to us on a temporary basis only. We agree to contact Temporary Plus first if we wish to employ this person (put this person on our payroll), to include but not limited to, as a part-time employee or as a consultant or independent contractor, or in a different position with any company affiliated with our firm to whom we referred this person. We agree to pay Temporary Plus liquidated damages.

Temporary Plus employees are not authorized to handle cash, negotiables or other valuables without the written consent of Temporary Plus.

WE CERTIFY THE HOURS INDICATED ARE CORRECT AND THE WORK PERFORMED WAS SATISFACTORY.

Client Signature: ______________________________________________________________

Company Name: ______________________________________________________________

Department __________________________________________________________________

For office use only:

Client #

paid lunch

paid
holiday

regular
time

overtime

skill
category

pay
rate

bill rate

                 

  

         

 

General Instructions:

1.

You are paid according to this official record of time worked. Please be accurate. Incomplete, inaccurate or illegible time cards may cause your paycheck to be delayed

3.

Mail, fax, or deliver your time card immediately upon completion of the assignment, or at the end of your work week, whichever is sooner

2.

Use a new time card for each assignment and use a new timecard each week. A new time card will be sent with your paycheck

4.

Call Temporary Plus when —

  • You complete an assignment.
  • You will be working over 40 hours in one work week.
  • You have moved.
  • You have any questions or need any help.

602 South Main Street, Culpeper, VA 22701    Ph: 540 - 825-1140    Fx: 540 - 825 -1809
  Copyright © 2004 Temporary Plus LLC - All Rights Reserved
    Site Design by Fredrik's Design of Culpeper