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DEPARTMENTAL TIME REPORT FOR PAYROLL

Pay period of       to       Department:      

Approved by:       Title:      

Completed by:       Title:      

Date:      

Employee Names Positions/Titles Social Security Employee Payroll Hours/Type


Numbers Numbers

                             /     

                             /     

                             /     

                             /     

                             /     

                             /     

                             /     

Codes for Hours/Types:

R – Regular

V – Vacation

S – Sick

H – Holiday

C – Compensatory Time

D – Disability

L – Leave

B – Bereavement

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