Employee's Information
Payroll Timesheet
Person Authorized:
Phone Number:
Period from:
Reimbursement:
Sick Hrs:
Vacation Hrs:
Other:
Salary (Gross) Re Hr:
Hourly Wage:
Employee Name:
Check Date:
Number of Employees to be reported:
Company Name:
Client Number:
Through:
Fax Number:
E-mail Address:
Mileages:
Amount
Holiday Hrs:
Tips:
Salary (Net) Re Hr:
Overtime:
Worker's Comp Code:
Bonus:
Savings/401K: