Tip & Time Off Reporting Form
Name
*
First Name
Last Name
Week Start Date (Tuesday)
*
-
Month
-
Day
Year
Date Picker Icon
Week End Date (Saturday)
*
-
Month
-
Day
Year
Date Picker Icon
TIME OFF DURING PERIOD | Select any scheduled time off taken during this pay period. Sick or vacation time will be paid only when you have an available balance. If no paid time is available, select Unpaid Time.
Rows
TUE
WED
THU
FRI
SAT
SICK TIME
VACATION TIME
UNPAID TIME
Cash Tips Received
*
Notes for Payroll:
Signature
*
Submit
Should be Empty: