NWCSRA Staff Timesheet
Email *
Name *
Payroll Period *
Staff Job Description *
ADULT Day Program ONLY - Location
Clear selection
Program Name
Program Date
MM
/
DD
/
YYYY
Start Time (15 min increments 00, 15, 30, 45)
Time
:
End Time (15 min increments 00, 15, 30, 45)
Time
:
If time submitted is over/under scheduled hours, please provide explanation
By checking the box below, I acknowledge that the time submitted is accurate. *
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