Payroll Verification

Employee Timesheet

Verification Form
Name*

First NameLast Name
Last four of social security number for verification*
Dates of time card*

MonthDayYear
Start Pay Period
Date*

MonthDayYear
End of pay period
By my signature below I verify that I have reviewed all of my time punches using the ontheclock electronic payroll management system and represent the time as accurate. All time is subject to review and confirmation consistent with applicable CBA or HA rules.
Signature*

Clear
Should be Empty:

Employee Timesheet