EMPLOYEE EXTRA DUTY TIMECARD
FROM: _________________ 10, 20____
TO: ___________________ 9, 20____
EMPLOYEE NAME: __________________________________(LAST, FIRST AS APPEARS ON SS CARD) EMPLOYEE NUMBER: _____________
WORK SITE: _________________ REGULAR POSITION: ____________________ EXTRA DUTY/OT POSITION:___________________
EMPLOYEE TYPE (select one) : CERTIFICATED ______ circle applicable: HOURLY
CIRCLE APPLICABLE CATEGORIES: ADULT ED
S.A.F.E.
INTERVENTION
TUTORING
DAILY**
OVERTIME
CLASSIFIED _______ circle applicable:
EXTRA DUTY
SATURDAY SCHOOL
PAY
COMP
DETENTION
SUBSTITUTE
DESCRIPTION OF DUTIES PERFORMED: __________________________________________________________________________________________
ACCOUNT CHARGED:
___ ___ - ___ ___ ___ - ___ ___ ___ ___ - ___ - ___ ___ ___ ___ - ___ ___ ___ ___ - ___ ___ ___ ___
FUND
DATE
UNITS*
SCHOOL
REASON
RESOURCE
PY
GOAL
PROGRAM/SUBBED FOR
FUNCTION
DATE
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
ACCOUNT INFORMATION REQUIRED
DO NOT LEAVE BLANK
OBJECT
UNITS*
REASON
PROGRAM/SUBBED FOR
26
27
28
29
30
31
1
2
3
4
5
6
7
8
9
TOTAL UNITS
* RECORD HOURS WORKED IN 1/4 HOUR INCREMENTS IN DECIMAL FORMAT: .25 FOR 15 MINUTES, .50 FOR 30 MINUTES, .75 FOR 45 MINUTES, 1.00 FOR 60 MINUTES
** WORK IS NORMALLY REPORTED IN HOURS - EXCEPT IN INSTANCES WHERE DAYS ARE PERMITTED. REPORT DAYS IN FULL (1.00) OR 1/2 (.50) INCREMENTS
ONLY ONE PAY PERIOD PER TIMECARD IS PERMITTED; i.e. JULY 10 - AUGUST 9
(This area for Payroll Use Only)
UNITS
LINE
____________
LINE
/
___________________
ADJUSTMENT CODE
/
______________
____________
/
___________________
ADJUSTMENT CODE
/
______________
UNITS
____________
___________________
______________
____________
___________________
______________
PAYROLL RESERVES THE RIGHT TO RETURN INCOMPLETE/UNSIGNED TIMECARDS FOR COMPLETION
EMPLOYEE SIGNATURE
SITE ADMINISTRATOR APPROVAL
PROGRAM/DISTRICT ADMINISTRATOR APPROVAL
PLEASE COMPLETE THE TIMECARD USING BLUE INK.
NOTE: PLEASE ADHERE TO THE PAYROLL SCHEDULE. LATE TIMECARDS WILL BE PROCESSED THE FOLLOWING PAY CYCLE.
DO NOT HOLD TIMECARDS - THE DISTRICT IS ASSESSED PENALTIES & INTEREST FOR LATE PAYROLL REPORTING TO RETIREMENT