UAMS U-TEMPS TIMESHEET

Phone (501) 686-6562

Fax (501) 526-7626

Intra-mail #566

Employee Name (please print)				Assignment Department
Social Security Number				Hourly Rate of Pay
Day	Date	Time Started	Out for Lunch		In from Lunch	Time Finished	Total Time Worked	I certify that the hours shown were worked by me during the pay period indicated. I understand I am to contact UAMS TEMPS after completing the assignment. I also understand that this timesheet must be delivered to U-TEMPS by 4:30 p.m. on the last Friday of the pay period. Employee Signature: ___________________ Date: ______________________
Sun
Mon
Tues
Wed
Thus
Fri
Sat
Total Week 1								I hereby certify the information submitted by the employee is correct. Department Head’s Signature: ________________________ Date: ___________________ Account # ___________to be billed Intra-mail # ___________
Sun
Mon
Tues
Wed
Thur								On Call Hours ________________ Shift Hours ________________ Travel Hours ________________
Fri
Sat
Total Week 2
Total hours worked this pay period

Please return to U-TEMPS

For more information about U-TEMPS:

www.uams.edu/ohr/employment