Work Schedule Template 12
Work Schedule Template 12
Complete the form by tabbing through the white cells and recording hours as appropriate. Instructions/definitions are included as
comments for certain cells and can be accessed by hovering the cursor over the cell. When the form is complete, print out a copy and
obtain necessary signatures. Retain a copy for yourself and for your department.
Day of the Week Day 1 Day 2 Day 3 Day 4 Day 5 Day 6 Day 7 Day 7
Fri pm Sat Sun Mon Tues Wed Thur Fri am
4. Date (m/d/yy) Total
8. Annual Leave -
9. Sick Leave -
10. Other (indicate type)
-
11. UW Holiday -
15. OVERTIME is to be paid unless an employee has requested Comp Time and the supervisor approves
Hrs for Overtime pay: - hours to be paid at the time and a half rate to the employee
-- or --
Hours to be recorded as Comp Time on your Work and
Hrs for Comp Time: hours x 1.5= -
Leave Record (Form 220).
16. For the Additional STRAIGHT TIME earned this week, I (the employee) would like:
17. TOTAL COMP TIME hours to be recorded on your Work and Leave Record (Form 220):
Total Comp Time: -
We certify that the hours claimed for payment and/or compensatory time are correct:
/
Employee Signature / Date Supervisor Signature / Date
Reminder: Please submit a copy of your Timesheet to Payroll (Box 358431) the Tuesday morning following the workweek if you recorded
Overtime, Shift Differentials, and/or Leave w/o Pay.
*Not required for excepted employees