DATE JOB WORKED / PERSON ABSENT
HOURS
WORKED
COMBO CODE GOAL FUNCTION OBJECT-SUB SCHOOL LOCATION INITIAL
Payroll Use
Sum
Payroll Use
Combo Code
-
Date Date
SUPERVISOR'S SIGNATURE (REQUIRED)
DISTRIBUTION: WHITE-PAYROLL YELLOW - SCHOOL or DEPARTMENT PINK-
EMPLOYEE
P-27A FEDERAL/STATE (REV 112014)
EMPLOYEE SIGNATURE (REQUIRED)
TIME SHEETS MUST BE SUBMITTED
TO PAYROLL ON OR BEFORE
PUBLISHED DUE DATES TO ENSURE
PROCESSING FOR THAT MONTH
OVERTIME HOURS
LIMITED TERM HOURS
REGULAR HOURS
I certify this report to be true and correct and it is an after the fact report of actual work I did on the dates specified. I
have full knowledge of the work I completed.
IRREGULAR WORK SCHEDULE
YES OR NO
FUND-RESOURCE-SUB
EMPLOYEE'S NAME (PRINT LAST, FIRST)
EMPLOYEE ID NUMBER (REQUIRED)
CURRENT POSITION
REASON FOR ADDITIONAL HOURS
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