DAILY TIME RECORD / SERVICE ACTIVITY RECORD
Month From To
NAME
POSITION NOTE Please ensure thal all columns are filled-out to avoid delay
CLIENT NAME Your signature is important. Without your signature, this will not be valid.
DEPT. / OFFICE DAY OFF
DAILY TIME SCHEDULE ACTUAL DAILY TIME SCHEDULE TOTAL EXTENDED WORK HOUR
OFFICIAL TIME SCHEDULE AM NN PM WORKED REASONS
DATE DAY HOURS FROM TO TOTAL HOURS
FROM TO FROM TO FROM TO FROM TO
Noted by Approved by
MEMBER CLIENT REPRESENTATIVE GAK MEMBER SUPERVISOR
SIGNATURE OVER PRINTED NAME SIGNATURE OVER PRINTED NAME SIGNATURE OVER PRINTED NAME
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FOR PROCESSOR'S USE ONLY: TOTAL NO. OF DAYS TOTAL OF HOURS LATE
TOTAL REGULAR HOURS WORKED TOTAL OF EXTRA WORKING HOURS