"Salary Employee Attendance Sheet"

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Licensed Agency
SALARY EMPLOYEE ATTENDANCE SHEET
Print Name:_____________________________________________
Pay Period:_________________________________________
PD
W/O
ON
RN
DAY
IN
OUT
PTO
# RV
# SOC
HOL
PAY
CALL
backup
SUNDAY
MONDAY
TUESDAY
WEDNESDAY
THURSDAY
FRIDAY
SATURDAY
RN On Call =”X” each day
ON CALL = “X” each day
TOTAL HOURS ____________
# RV and # SOC = for extra visits only – fill in total number to be paid
_______________________________________________________________________________________________________
EMPLOYEE SIGNATURE
SUPERVISOR SIGNATURE
TO BE COMPLETED BY PAYROLL:
EMP #
REGULAR HOURS
PD HOL
PTO
W/O PAY
ON CALL
# RV
# SOC
MILEAGE
Revised 7/2/07
Licensed Agency
SALARY EMPLOYEE ATTENDANCE SHEET
Print Name:_____________________________________________
Pay Period:_________________________________________
PD
W/O
ON
RN
DAY
IN
OUT
PTO
# RV
# SOC
HOL
PAY
CALL
backup
SUNDAY
MONDAY
TUESDAY
WEDNESDAY
THURSDAY
FRIDAY
SATURDAY
RN On Call =”X” each day
ON CALL = “X” each day
TOTAL HOURS ____________
# RV and # SOC = for extra visits only – fill in total number to be paid
_______________________________________________________________________________________________________
EMPLOYEE SIGNATURE
SUPERVISOR SIGNATURE
TO BE COMPLETED BY PAYROLL:
EMP #
REGULAR HOURS
PD HOL
PTO
W/O PAY
ON CALL
# RV
# SOC
MILEAGE
Revised 7/2/07