Part Time Fire Department (Day Crew) Time Sheet

DATE
IN
Please use military time
OUT
TOTAL TIME
EXPLANATIONS
Sunday
_____/______/________
Monday
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Tuesday
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Wednesday
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Thursday
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Friday
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Saturday
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SUBTOTAL FOR WEEK
Sunday
_____/______/________
Monday
_____/______/________
Tuesday
_____/______/________
Wednesday
_____/______/________
Thursday
_____/______/________
Friday
_____/______/________
Saturday
_____/______/________
SUBTOTAL FOR WEEK
TOTAL FOR BOTH WEEKS

Employee Name: _______________________________ Department: __Canal Fulton Fire Department__

Certification Level: ______ (B = Basic; P = Medic)

NOTES:
Employee working hours shall be figured daily to the nearest quarter hour. An employee must work at least 11 minutes out of quarter hour to be given credit for that quarter hour.
See chapter 141 of the codified Ordinances of Canal Fulton for additional information on personal rules, regulations and procedures.

CERTIFICATION: I certify this is a true and accurate record of my work and leave time for the above-captioned pay period.
__________________________________________________________________________________________________________
(Name/Signature) (Date)

Directions: Please fill in the blanks based upon the hours worked in the current Pay Period. It is the Employee’s responsibility to total work hours before submitting this form to the City Manager. Time sheets which are incomplete or incorrectly filled out may delay processing of your paycheck. You MUST sign and date these forms for them to be considered complete. Please place the date of the day worked on each line.