Time Reporting System Update Staffing

Time Reporting System Update Request Staffing
Request Date:

MonthDayYear
Date
Submitted by:
Request Type ......(check all that apply)
Client: (If new client is added to list, include address, contact, and phone # in Notes)
Address:
City, State, Zip:
Contact Name:
Project/Contract ID:
Project Name:
Project Type:
Project Manager:
Start Date:

MonthDayYear
Date
End Date:

MonthDayYear
Date
Task Name:
Payroll Description:
Bill Rate:
OT Bill Rate:
Signature Requirement:
Approver:
Approver Email:
Pay Rate:
OT Rate:
SCA
SCA Base Rate:
SCA H&W Rate:
SCA H&V Rate:
Taxable:
Employee Name:

First NameMiddle NamelLast Name
Address:

Street Address

Street Address Line 2

CityState

Zip Code
Primary E-mail
Alternate Email:
Primary Phone No:

Area CodePhone Number
Cell/Alternate Phone No:

Area CodePhone Number
Notes:
Should be Empty:

Time Reporting System Update Request Staffing