Daily Time Record Sample Format

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(Name) (Name)
INSTRUCTIONS INSTRUCTIONS
________oOo______ ________oOo______
Civil Service Form No. 48, after completion, Civil Service Form No. 48, after completion,
should be filed in the records of the Bureau or should be filed in the records of the Bureau or
Office which submits the monthly report on Civil Office which submits the monthly report on Civil
Service Form No. 3 to the Bureau of Civil Service. Service Form No. 3 to the Bureau of Civil Service.

In lieu of the above, court interpreters and In lieu of the above, court interpreters and
stenographers who accompany the judges of the stenographers who accompany the judges of the
Court of First Instance will fill out the daily time Court of First Instance will fill out the daily time
reports on this form in triplicate, after which they reports on this form in triplicate, after which they
should be approved by the judge with whom service should be approved by the judge with whom
has been rendered, or by an officer of the service
has been rendered, or by an officer of the
Department
of Justice authorized to do so. The original Department
of Justice authorized to do so. The original
should be forwarded promptly after the end of the should be forwarded promptly after the end of the
month to the Bureau of Civil Service, thru the month to the Bureau of Civil Service, thru the
Department of Justice; and the triplicate in Department of Justice; and the triplicate in
the office of the Clerk of Court where the service was the office of the Clerk of Court where the service
rendered. was
rendered.

In the space provided for the purpose on the In the space provided for the purpose on the
other side will be indicated the office hours the other side will be indicated the office hours the
employee is required to observe; as, for example, employee is required to observe; as, for example,
Regular days, 8:00 -12:00 and 1:00 - 4:00; Saturdays, Regular days, 8:00 -12:00 and 1:00 - 4:00;
8:00 - 1:00". Saturdays,
8:00 - 1:00".

Attention is invited to paragraph 3, Civil Service Attention is invited to paragraph 3, Civil Service
Rule XV, Executive Order No. 5, series of 1909, Rule XV, Executive Order No. 5, series of 1909,
which read as follows: which read as follows:

Each Chief of a Bureau or Office shall require Each Chief of a Bureau or Office shall require
a daily record of attendance of all the officers and a daily record of attendance of all the officers and
employees under him entitled to leave of absence employees under him entitled to leave of absence
or vacation (including teachers) to be kept on the or vacation (including teachers) to be kept on the
proper form and also systematic office record proper form and also systematic office record
showing for each day all absences from duty from showing for each day all absences from duty from
any cause whatever. At the beginning of each any cause whatever. At the beginning of each
month he shall report to the Commissioner on the month he shall report to the Commissioner on the
proper form all absences from any cause whatever, proper form all absences from any cause whatever,
including the exact amount of undertime of each including the exact amount of undertime of each
person for each day. Officers and employees serving person for each day. Officers and employees
in the field or on the water need not be required to serving
in the field or on the water need not be required to
keep a daily record, but all absences of such keep a daily record, but all absences of such
employees
must be included in the monthly report of employees
must be included in the monthly report of
changes and absences. Falsification of time records changes and absences. Falsification of time records
will render the offending officer or employee liable will render the offending officer or employee liable
to summary removal from the service and criminal to summary removal from the service and criminal
prosecution." prosecution."

(NOTE. - A record made from memory at sometime subsequent to the (NOTE. - A record made from memory at sometime subsequent to
occurrence of an event is not reliable. Non-observance of office hours the
occurrence of an event is not reliable. Non-observance of office
deprives the employee of the leave privileges although he may have hours
deprives the employee of the leave privileges although he may have
rendered overtime service. Where service rendered outside of the rendered overtime service. Where service rendered outside of the
office of morning or afternoon, notation to that effect should be made
the whole office of morning or afternoon, notation to that effect should be
the whole
clearly.) made
clearly.)

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page 2 (computerized entries)

ONS
__
after completion,
the Bureau or
y report on Civil
u of Civil Service.

interpreters and
the judges of the
t the daily time
after which they
e with whom
cer of the
he original
fter the end of the
vice, thru the
riplicate in
where the service

rpose on the
office hours the
; as, for example,
:00 - 4:00;

h 3, Civil Service
series of 1909,

shall require
all the officers and
o leave of absence
to be kept on the
c office record
es from duty from
nning of each
mmissioner on the
ny cause whatever,
ndertime of each
d employees
not be required to
nces of such
y report of
tion of time records
or employee liable
ervice and criminal

ometime subsequent to
-observance of office
ges although he may have
rendered outside of the
o that effect should be

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Civil Service Form No. 48 Civil Service Form No. 48

DAILY TIME RECORD DAILY TIME RECORD


PT TS

(Name) (Name)
For the month of For the month of
ficial hours of arrival Regular days ______________ icial hours of arrival Regular days ______________
and departure Sat/Sun ______________ and departure Sat/Sun ______________
A.M. P.M. UNDERTIME A.M. P.M.
Day Day
Arrival Departure Arrival Departure Hours Minutes Arrival Departure Arrival Departure
1 1
2 2
3 3
4 4
5 5
6 6
7 7
8 8
9 9
10 10
11 11
12 12
13 13
14 14
15 15
16 16
17 17
18 18
19 19
20 20
21 21
22 22
23 23
24 24
25 25
26 26
27 27
28 28
29 29
30 30
31 31

I CERTIFY on my honor that the above is a true and correct I CERTIFY on my honor that the above is a true and correct
report of the hours of work performed, record of which was report of the hours of work performed, record of which was
made daily at the time of arrival and departure from office. made daily at the time of arrival and departure from office.

_________________________ _________________________
VERIFIED as to the prescribed office hours. VERIFIED as to the prescribed office hours.

Noted : Noted :

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In Charge In Charge
(SEE INSTRUCTION ON BACK) (SEE INSTRUCTION ON BACK)
XF.HR.011 rev 1 28 April 2010 XF.HR.011 rev 1 28 April 2010

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ME RECORD
TS

______________
______________
UNDERTIME
Hours Minutes

t the above is a true and correct


performed, record of which was
rival and departure from office.

______________
prescribed office hours.

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Charge
CTION ON BACK)
XF.HR.011 rev 1 28 April 2010

Page 6

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