Spreadsheet: 04d9e5b6-0071-4b33-8ee4-45100d318da3
Sheet: Sheet1

Unnamed: 0 | Unnamed: 1 | Unnamed: 2 | Unnamed: 3 | Unnamed: 4 | Unnamed: 5 | Unnamed: 6 | Unnamed: 7 | Unnamed: 8 | Unnamed: 9 | Unnamed: 10 | Unnamed: 11 | Unnamed: 12
Name: |  |  |  |  |  |  | Department:
ID: |  |  |  |  |  |  | Rate of Pay:
Month: |  |  |  |  |  |  | Total Hours Worked: |  | 0
Year: |  |  | FOP |  |  |  |  |  |  | Gross pay for this period: | 0
Enter the day of the week (Sun, Mon, [NAME], Wed, Thurs, Fri, Sat).
Enter start and end times using the colon for separation of hours and minutes and enter either AM or PM (ex: 7:00 AM).
Subtotals and totals are calculated by formula.
Enter "rate of pay" to calculate "gross pay for this period".
 |  | Hours of Work |  | Total Time Worked |  |  |  |  | Hours of Work |  | Total Time Worked
Date | Day | Start | Quit | Hours | Minutes |  | Date | Day | Start | Quit | Hours | Minutes
22 |  |  |  | 0 | 0 |  | 6 |  |  |  | 0 | 0
 |  |  |  | 0 | 0 |  |  |  |  |  | 0 | 0
23 |  |  |  | 0 | 0 |  | 7 |  |  |  | 0 | 0
 |  |  |  | 0 | 0 |  |  |  |  |  | 0 | 0
24 |  |  |  | 0 | 0 |  | 8 |  |  |  | 0 | 0
 |  |  |  | 0 | 0 |  |  |  |  |  | 0 | 0
25 |  |  |  | 0 | 0 |  | 9 |  |  |  | 0 | 0
 |  |  |  | 0 | 0 |  |  |  |  |  | 0 | 0
26 |  |  |  | 0 | 0 |  | 10 |  |  |  | 0 | 0
 |  |  |  | 0 | 0 |  |  |  |  |  | 0 | 0
27 |  |  |  | 0 | 0 |  | 11 |  |  |  | 0 | 0
 |  |  |  | 0 | 0 |  |  |  |  |  | 0 | 0
28 |  |  |  | 0 | 0 |  | 12 |  |  |  | 0 | 0
 |  |  |  | 0 | 0 |  |  |  |  |  | 0 | 0
29 |  |  |  | 0 | 0 |  | 13 |  |  |  | 0 | 0
 |  |  |  | 0 | 0 |  |  |  |  |  | 0 | 0
30 |  |  |  | 0 | 0 |  | 14 |  |  |  | 0 | 0
 |  |  |  | 0 | 0 |  |  |  |  |  | 0 | 0
31 |  |  |  | 0 | 0 |  | 15 |  |  |  | 0 | 0
 |  |  |  | 0 | 0 |  |  |  |  |  | 0 | 0
1 |  |  |  | 0 | 0 |  | 16 |  |  |  | 0 | 0
 |  |  |  | 0 | 0 |  |  |  |  |  | 0 | 0
2 |  |  |  | 0 | 0 |  | 17 |  |  |  | 0 | 0
 |  |  |  | 0 | 0 |  |  |  |  |  | 0 | 0
3 |  |  |  | 0 | 0 |  | 18 |  |  |  | 0 | 0
 |  |  |  | 0 | 0 |  |  |  |  |  | 0 | 0
4 |  |  |  | 0 | 0 |  | 19 |  |  |  | 0 | 0
 |  |  |  | 0 | 0 |  |  |  |  |  | 0 | 0
5 |  |  |  | 0 | 0 |  | 20 |  |  |  | 0 | 0
 |  |  |  | 0 | 0 |  |  |  |  |  | 0 | 0
 |  |  |  | 0 | 0 |  | 21 |  |  |  | 0 | 0
 |  |  | Subtotal: | 0 | 0 |  |  |  |  |  | 0 | 0
 |  |  |  |  |  |  |  |  |  | Subtotal: | 0 | 0
 |  |  | Totals: | 0 |  |  |  |  |  | Totals: | 0
I certify that I have worked all the hours indicated and that this time card is correct.  I certify that I did not work during
any time I was scheduled to be in class.
 |  |  |  |  |  |  | Student's Signature:
I certify to the best of my knowledge that the above named student performed the work reported in a satisfactory
manner.  I also certify that this student did not work anytime he/she was scheduled to be in class.
 |  |  |  |  |  |  | [NAME]'s Signature:
 |  |  | No student may be paid for Federal Work-Study funds unless he/she has been found eligible for and
 |  |  | obtained a work-study job prior to the performance of any work.  Any person who knowingly makes a false
 |  |  | statement or misrepresentation of this form shall be subject to a fine of not more than $10,000, imprisonment
 |  |  | for not more than 5 years, or both, under provision of the United States Criminal Codes.