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M ASSACHUSETTS COLLEGE OF ART AND DESI G N

PER DIEM / TRUST FUND TIME SHEET

 

This form must be filled o u t in b lue p e n. F or m s filled out in pencil w ill not be p r ocessed.

This form should be used by per diem/Trust Fund employees.

 

SELECT ONE                                  Student/school year - CCCC5      Student/school break – CCC05         Contractor - CCC09

 

 

________________________________________________________________                            __________________________________________________

Legal Name (Ple a s e Print)                                                         D e p a r t ment Name

 

__________________________________________________                        __ __ - __ __ __ - __ __ __ __ - 9 - CCC __ __

Empl o yee Payroll ID #                                              G L Trust Fund Accoun t Number

               ( DO NOT ENTER SOCIAL SECURI T Y # OR BADGE#)

 

         WEEK ENDING WEDNESDAY  ­ ­ ____________________         WEEK END I NG WEDNESDAY_____________________

 

DATE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TH

F

SA

SU

M

T

W

 

TH

F

SA

SU

M

T

W

IN

 

 

 

 

 

 

 

IN

 

 

 

 

 

 

 

OUT

 

 

 

 

 

 

 

OUT

 

 

 

 

 

 

 

IN

 

 

 

 

 

 

 

IN

 

 

 

 

 

 

 

O U T

 

 

 

 

 

 

 

O U T

 

 

 

 

 

 

 

 

HR S

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

WEEKL Y TOTA L HRS _________________                                                               WEE K L Y TOTA L HRS _________________

 

TOTAL HOURS ON SHEET _________________                            HOURL Y WAG E $ ___________________

 

I certify that I worked the hours posted on the a b ove sheet.

 

______________________________________________                         A d dress Change: Yes      N o __

EMPLOYEE SIGNA T U R E                               D A TE                             I f yes, please attach the address change form

 

ACCEPTANCE OF SE RV I CE:                                  I certify t hat servic e s were render e d during the hours posted above.

 

 

________________________________________________________________

SUPERVISOR S I GNATURE                                          DATE

 

________________________________________________________________

DEPARTME N T AUTHOR IZ AT I ON                               DATE

 

DO NOT WRITE BELOW THIS LINE - FOR HUMAN RESOU R CES USE ONLY:


 

TOTAL APP R O V ED HOURS ______________

 

HOURL Y W A GE    $_____________________

  TOTAL                   $______________________ Revised 07/1/2019