Fill and Sign the Time Sheet Templatesofficecom Form

Basic form © James R. McDade (ver: 09-09-04) 209-667-2300 Page 1 of 2 WEEKLY TIME SHEET (Multiple Pay Rate) Note: Employers use this form to keep track of an employee’s work time when the employee is paid different wage rates for different work. Seek legal counsel if you do not know the wage and hour rules. (Delete this note prior to use.)Employee’s Name: __________________________ Workweek Dates: ______________________Every employee is authorized and expected to take a 10-minute rest break in the middle of every period worked before and after lunch. Rest breaks need not be taken if 3 ½ hours will complete the workday. Rest breaks may also be voluntarily waived. Please note on the bottom of this form if you missed a rest break that you did not intend to waive. Lunch breaks must begin prior to the 5th hour of work and cannot be less than 30 minutes. The lunch break can be waived if 6 hours will complete the day’s work.Duty Hours Worked Pay Rate Pay TimeJob Name / TaskCodeRegularOTRegularOTRegularOT MondayInBegin Work DayStartEndStartEndStartLUNCHEndStartEndStartEndOutEnd Work DayTuesdayInBegin Work DayStartEndStartEndStartLUNCHEndStartEndStartEndOutEnd Work DayWednesdayInBegin Work DayStartEndStartEndStartLUNCHEndStartEndStartEndOutEnd Work Day Basic form © James R. McDade (ver: 09-09-04) 209-667-2300 Page 2 of 2ThursdayInBegin Work DayStartEndStartEndStartLUNCHEndStartEndStartEndOutEnd Work DayFridayInBegin Work DayStartEndStartEndStartLUNCHEndStartEndStartEndOutEnd Work DaySaturdayInBegin Work DayStartEndStartEndStartLUNCHEndStartEndStartEndOutEnd Work DayI, the undersigned employee, certify under penalty of perjury under the laws of the State of California that the information entered on this time record is true and accurate to the best of my knowledge._____________________________________ Date: _____________________________Employee’s Signature