JETT Medical Staffing Timesheet

Use the tab button or the mouse to move to the next box. Do NOT use the ENTER button*

Monday
On Call?

YESNO
Tuesday
On Call?

YESNO
Wednesday
On Call?

YESNO
Thursday
On Call?

YESNO
Friday
On Call?

YESNO
Saturday
On Call?

YESNO
Sunday
On Call?

YESNO
Regular

Hour Minutes

AM/PM Option

Until
until
Hour Minutes

AM/PM Option
Total 0.0
Overtime

Hour Minutes

AM/PM Option

Until
until
Hour Minutes

AM/PM Option
Total 0.0
Call Back

Hour Minutes

AM/PM Option

Until
until
Hour Minutes

AM/PM Option
Total 0.0
24 Hour Call

Hour Minutes

AM/PM Option

Until
until
Hour Minutes

AM/PM Option
Total 0.0
Holiday

Hour Minutes

AM/PM Option

Until
until
Hour Minutes

AM/PM Option
Total 0.0
*TIMESHEETS ARE DUE BY MONDAY AT 1:00PM EASTERN STANDARD TIME
Provider: By signing this time sheet I acknowledge that I have reviewed the information above and have verified its
PROVIDER SIGNATURE: PRINT NAME*

Clear
DATE

MonthDayYear
Date
Client: By signing this time sheet you agree with the hours works indicated above and will be invoiced accordingly.
Client
CLIENT APPROVAL SIGNATURE: PRINT NAME

Clear
DATE

MonthDayYear
Date
EMAIL
example@example.com
File Upload

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If you have any questions or concerns please contact us at:

912-438-4402

1 Diamond Causeway, Suite 21-274 | Savannah, GA. 31406
Note: Late Timesheets will not be paid until the following pay period

Please call or email your Payroll Coordinator to confirm receipt
Should be Empty:

JETT MEDICAL STAFFING