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Tri-County Special Education Interlocal 607, Independence KS
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CERTIFICATE OF TIME FOR SPECIAL EDUCATION SERVICES
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Name:
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Position:
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District:Building:
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Please email completed form to cgartner@tricounty607.com or fax to 620-331-0282
Must be signed by supervisor to be accepted.
Due by the 1st of the month.
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DayDateAMPMHours WorkedNotes
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InOutInOutTotalSick Day Hrs
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Monday0.00
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Tuesday7/1/20250.00
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Wednesday7/2/20250.00
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Thursday7/3/20250.00
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Friday7/4/20250.00
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0.00
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Week Total0.000.00
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DayDateAMPMHours Worked
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InOutInOutTotalSick Day Hrs
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Monday7/7/20250.00
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Tuesday7/8/20250.00
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Wednesday7/9/20250.00
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Thursday7/10/20250.00
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Friday7/11/20250.00
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0.00
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Week Total0.000.00
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DayDateAMPMHours Worked
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InOutInOutTotalSick Day Hrs
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Monday7/14/20250.00
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Tuesday7/15/20250.00
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Wednesday7/16/20250.00
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Thursday7/17/20250.00
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Friday7/18/20250.00
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0.00
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Week Total0.000.00
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DayDateAMPMHours Worked
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InOutInOutTotalSick Day Hrs
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Monday7/21/20250.00
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Tuesday7/22/20250.00
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Wednesday7/23/20250.00
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Thursday7/24/20250.00
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Friday7/25/20250.00
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0.00
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Week Total0.000.00
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DayDateAMPMHours Worked
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InOutInOutTotalSick Day Hrs
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Monday7/28/20250.00
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Tuesday7/29/20250.00
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Wednesday7/30/20250.00
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Thursday7/31/20250.00
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Friday0.00
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0.00
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Week Total0.000.00
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Total Regular Hrs.0.00
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Grand Total Regular and Sick Hrs:0.00Total Sick Day Hours:0.00
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Signed:Approved:
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