BEE EMPLOYEE PREMIUM PAY
CENTER AFTER HOURS CHILD PICK-UP
FORM MUST BE TURNED IN TO PAYROLL BY MONDAY OF APPLICABLE PAYROLL WEEK
CENTER / LOCATION
*
Please Select
THREE BEARS LEARNING CENTER
THE VILLAGE CHILD DEVELOPMENT CENTER
ORCHARD VALLEY LEARNING CENTER
HIGHLANDS RANCH LEARNING CENTER
FAMILY LAST NAME (FOR CENTER USE)
*
ENTER CHILD'S NAME IF MORE THAN ONE FAMILY USES SAME LAST NAME AT CENTER
DATE OF PICK-UP AND TIME PREMIUM BEGAN
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
SELECT PM!
AM
PM
AM/PM Option
TIME OF PICK-UP
*
SELECT TIME GUARDIANS ARRIVED AT FACILITY
PM
AM/PM Option
TOTAL CHARGE TO FAMILY
*
AMOUNT PAID WILL SPLIT EVENLY PER NUMBER OF EMPLOYEES LISTED BELOW
EMPLOYEE 1
NAME OF EMPLOYEE TO BE PAID
*
FIRST
LAST
EMPLOYEE 2 - IF APPLICABLE
NAME OF ADDITIONAL EMPLOYEE TO BE PAID
FIRST
LAST
EMPLOYEE 3 - IF APPLICABLE
NAME OF ADDITIONAL EMPLOYEE TO BE PAID
FIRST
LAST
FINISH AND SUBMIT
SELECT CENTER ADMIN TO RECEIVE COPY
*
Please Select
SYDNEY@THREEBEARSLC.COM
NICOLE@THEVILLAGELC.COM
JANNIE@ORCHARDVALLEYLC.COM
MUST CHOOSE ONE - FIND YOUR CENTER ADMIN
Submit
Should be Empty:
