
 
 
 
PAYROLL TIME SHEET FOR HOURLY EMPLOYEES 
  
   DATE  MORNING  AFTERNOON  EVENING  TOTAL 
DAY  MONTH
DAY  FROM  TO  FROM  TO  FROM  TO  HOURS
MINUTES 
MONDAY                               
TUESDAY                               
WEDNESDAY
                             
THURSDAY                               
FRIDAY                               
SATURDAY                               
SUNDAY                               
MONDAY                               
TUESDAY                               
WEDNESDAY
                             
THURSDAY                               
FRIDAY                               
SATURDAY                               
SUNDAY                               
 
 
TOTAL HOURS: __________ 
Instructions: 
  This form should be used to report salary for part-time of regular employees.  Utica College Students are not to use 
this form. 
  Payment will be made only if the employee is on the payroll.  New employees are placed on the payroll when the 
notice of employment has been submitted to Human Resources and the employee has completed a W-4 form. 
  This payroll time sheet must be signed by the employee’s immediate supervisor. 
  The payroll time sheet must be delivered to the payroll office on or before 11:00 am of the Monday preceding the pay 
date.  
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -  
 
I certify that I have worked for the above time for the  ___________________________________________ Department.   
 
 
Employee name:  ________________________________  Signature _______________________________________ 
 
 
Approved by ____________________________________ Signature _______________________________________ 
 
 
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