Timesheet 2024

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How would you like your Time Processed
Daily/Next Pay
Weekly Pay
I have completed my Charting
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Contractors Information
First Name
Last Name
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DateDate of Shift Worked
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Day
Year
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Facility
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Clock INTime You Arrived for your Scheduled Shift
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Clock OUTWhat time did you clock out for your lunch break?
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Clock INThe time that you return back to work after break ended.
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Minutes
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Clock OutThe time that your shift ended
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Hour
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Minutes
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Total HoursTotal number of Completed Hours to be paid to contractor for completed shift.
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Please Rate Contractors Performance * This field is required.
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Need Improvement
Exceeds Expectations
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Name of the individual verifying that the specified contractor has completed the stated hours* This field is required.mentioned above on time sheet
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Facility Verification* This field is required.Charge Nurse Signature
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Contractors must only complete one time sheet per shift worked. Make sure to complete off going Rounds & Charting before leaving.

Thank you again for all that you do!
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Contractors Signature
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Contractors Job TitleContractors Job Title
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Date
Date
Month
Day
Year
Should be Empty: