ABCDEFGHIJKLMNOPQRSTUVWXYZ
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TIME AND EFFORT FOR
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SPLIT FEDERALLY FUNDED PERSONNEL
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NameMonth
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Directions:
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1. Enter Funding Source and Percentage
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2. Place X by weekend dates.
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3. Enter hours worked per day for each funding source and/or absence hours paid
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4. Sign and submit to supervisor
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Funding SourceAbsence HoursTotal Hours
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Percentage
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Monthly Totals0000
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Percentage#DIV/0!#DIV/0!#DIV/0!
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Total Hours Worked0
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I hereby certify that these are the actual hours worked for the programs reflected.
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Employee SignatureDate
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Supervisor SignatureDate
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