Q224A MALIKSHAW SUPPLIERS WORKSHEET

Client: Cabinet Office Resource Name: Michael Harrison

Date Start time Finish Time Rest Breaks Total Hours /

(hours/mins) Days
1/6/2020 9:00 5:30 30 7.5
2/6/2020 9:00 5:30 30 7.5
3/6/2020 9:00 5:30 30 7.5
4/6/2020 9:00 5:30 30 7.5
5/6/2020 9:00 5:30 30 7.5
8/6/2020 9:00 5:30 30 7.5
9/6/2020 9:00 5:30 30 7.5
10/6/2020 9:00 5:30 30 7.5
11/6/2020 9:00 5:30 30 7.5
12/6/2020 9:00 5:30 30 7.5
15/6/2020 9:00 5:30 30 7.5
16/9/2020 9:00 5:30 30 7.5
17/6/2020 9:00 5:30 30 7.5
18/6/2020 9:00 5:30 30 7.5
19/6/2020 9:00 5:30 30 7.5
22/6/2020 9:00 5:30 30 7.5
23/06/2020 9:00 5:30 30 7.5
24/06/2020 9:00 5:30 30 7.5
25/06/2020 9:00 5:30 30 7.5

Band : Pay Point : Total Fee days for Week/ Month 150

DECLARATION
“I declare that the information I have given on this form is correct and complete and that I have not claimed elsewhere for the hours/days detailed on this
timesheet. I understand that if I knowingly provide false information this may result in disciplinary action and I may be liable for prosecution and civil recovery
proceedings. I consent to the disclosure of information from this form to and by the Customer and the Counter Fraud and Security Management Service for the
purpose of verification of this claim and the investigation, prevention, detection and prosecution of fraud.”

NB. By signing here you confirm that you have received and Orientation Training for this assignment. Otherwise please state here……………………

Resource Signature:

AUTHORISATION
“I am an authorised signatory for this Customer. I am signing below to confirm that both the pay point and the hours/days that I am authorising are accurate and I
approve payment. I understand that if I knowingly authorise false information this may result in disciplinary action and I may be liable for prosecution and civil
recovery proceedings. I consent to the disclosure of information from this form to and by the Customer and the Counter Fraud and Security Management Service
for the purpose of verification of this claim and the investigation, detection and prosecution of fraud.”

N.B. By signing here you are confirming that you are happy with the performance of the Resource during this period

Authoriser Name: Signed: Date:

You may report any case of fraud, in confidence, to the Fraud and Corruption Reporting Line on 0800 028 4060. Any questionable timesheet must be immediately
brought to the attention of the Local Counter Fraud Specialist or to the Reporting Line.”
 Q224A MALIKSHAW SUPPLIERS WORKSHEET

You may report any case of fraud, in confidence, to the Fraud and Corruption Reporting Line on 0800 028 4060. Any questionable timesheet must be immediately
brought to the attention of the Local Counter Fraud Specialist or to the Reporting Line.”