Instructor Supplemental Payroll Form
First Name
*
Last Name
*
E-mail
*
So this can be emailed back to you
Payroll Month
*
Please Select
January
February
March
April
May
June
July
August
September
October
November
December
Period
*
1 - 18th
2 - Last
Supplemental Payroll Detail
Date
*
/
Month
/
Day
Year
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Start Time
*
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Hour
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Minutes
AM
PM
AM/PM Option
Hours
*
Please Select
0
1
2
3
4
5
Minutes
*
Total Minutes
Activity
*
Please Select
Distribute Flyers
Phone Meeting
Staff Meeting
Supply Delivery
Training
Visitor Notes
Office Support
Sales & Marketing
Travel
Yes
Date
*
/
Month
/
Day
Year
Date Picker Icon
Start Time
*
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
01
02
03
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46
47
48
49
50
51
52
53
54
55
56
57
58
59
Minutes
AM
PM
AM/PM Option
Hours
*
Please Select
0
1
2
3
4
5
Minutes
*
Total Minutes
Activity
*
Please Select
Distribute Flyers
Phone Meeting
Staff Meeting
Supply Delivery
Training
Visitor Notes
Office Support
Sales & Marketing
Travel
Yes
Date
*
/
Month
/
Day
Year
Date Picker Icon
Start Time
*
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
Minutes
AM
PM
AM/PM Option
Hours
*
Please Select
0
1
2
3
4
5
Minutes
*
Total Minutes
Activity
*
Please Select
Distribute Flyers
Phone Meeting
Staff Meeting
Supply Delivery
Training
Visitor Notes
Office Support
Sales & Marketing
Travel
Yes
Number
Save
Submit
Should be Empty: