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Time Card
Email address *
First Name
Last Name
Employee Code *
4 Digits -- This verifies you are completing the time card
Week Ending Date
Week Ends on Friday
MM
/
DD
/
YYYY
Were you injured on the job this week?
If Yes, List Injury
Did you witness an injury this week?
If Yes, list person and injury
Saturday
Saturday Hours worked
Description of work
Sunday
Sunday Hours worked
Description of work
Monday
Monday Hours worked
Description of work
Tuesday
Tuesday Hours worked
Description of work
Wednesday
Wednesday Hours worked
Description of work
Thursday
Thursday Hours worked
Description of work
Friday
Friday Hours worked
Description of work
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