YOUR NAME       
LAST 4 DIGITS OF SS #.       
             
DATE DATE DATE DATE DATE DATE DATE
MON TUE WED THU FRI SAT SUN
HRS.
MIN.
HRS.
MIN.
HRS.
MIN.
HRS.
MIN.
HRS.
MIN.
HRS.
MIN.
HRS.
MIN.
TIME IN                            
TIME OUT                            
LESS LUNCH                            
TOTAL REGULAR TIME                            
TOTAL OVERTIME                            
DOUBLE TIME                            

WEEK ENDING SUNDAY
MO.
DAY
YR.
     
  REGULAR TIME
HRS.
MIN.
   
  OVERTIME
HRS.
MIN.
   
  DOUBLE TIME
HRS.
MIN.
   
Job Completed     or Job Continuing
IMPORTANT: Hold check for pick up     or mail check
     


SUPERVISOR SIGNATURE: _______________________      
     
COMPANY NAME: _______________________ DEPT. ______      
     
TEMPORARY EMPLOYEE SIGNATURE: _______________________      

Candidate Information: Enter your times to the NEAREST QUARTER HOUR. (00 - 15 - 30 - 45). Do not use military time.
Client Information: Overtime is paid for hours worked in excess of 8 hours in one day or 40 hours in one week. There is a 4-HOUR MINIMUM per assignment. If you or any of your affiliates hire this employee within one year of this timecard, you will be billed a placement fee of 20% or the fee schedule in effect at the time.

163 Second Street, Suite 400 SF, CA 94105 Phone: 415.227.8610 Fax: 415.227.8611