Payroll Verification

Employee Timesheet

Verification Form
Name

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

MonthDayYear
2 digit month, 2 digit day, 4 digit yearStart Pay Period
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearEnd 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
Should be Empty:

Employee Timesheet