University of Missouri
Biweekly Payroll Time Record
Employee Name Empl ID
Pay Period Begin Date:
Pay Period End Date:
If completing this timesheet electronically, gray areas will calculate automatically.
WEEK 1 TIME IN TIME OUT TIME IN TIME OUT TIME IN TIME OUT TIME IN TIME OUT HOURS WORKED-OR*HOLIDAY WORKED PAID HOLIDAY (not worked) *OTHER PAID HOURS EXPLANATION OF *HOLIDAY WORKED HRS OR *OTHER
ENTER TIME, INCLUDE AM OR PM
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Total Hours First Week REG [1a] HOL [1b] REG [1c] REG [1d]
choose one
Record Vacation, Sick Leave, Family Sick Leave and Personal Day hours and "X" corresponding box if FMLA Leave
VACATION SICK LEAVE FAMILY SICK LEAVE PERSONAL DAY DAILY TOTALS WEEK 1 UNPAID FMLA WEEK 2 TIME IN TIME OUT TIME IN TIME OUT TIME IN TIME OUT TIME IN TIME OUT HOURS WORKED-OR*HOLIDAY WORKED PAID HOLIDAY (not worked) *OTHER PAID HOURS EXPLANATION OF *HOLIDAY WORKED HRS OR *OTHER
ENTER TIME, INCLUDE AM OR PM
VHT [1e] SHT [1f] FHT [1g] PHT [1h] Hrs Elig for OTM [1i]
Total Unpaid FMLA Wk 1 [1k] Sunday Monday Tuesday Wednesday Thursday Friday Saturday
Total Hours Second Week REG [2a] HOL [2b] REG [2c] REG [2d]
choose one
Record Vacation, Sick Leave, Family Sick Leave and Personal Day hours and "X" corresponding box if FMLA Leave
VACATION SICK LEAVE FAMILY SICK LEAVE PERSONAL DAY DAILY TOTALS WEEK 2 UNPAID FMLA FOR OFFICE USE ONLY MO CODE HOURS PAID Earn Code DF2 DF3 SHIFT DIFFERENTIAL Hrs. Worked Overtime (DFO) FI [1a]+[2a]+[1c]+[2c]+[1d]+[2d]+[1 e]+2e]+[1f]+[2f]+[1g]+[2g]+[1h]+ [2h]-[1i]-[2i] [1b]+[2b] [1i]+[2i] Totals for BiWeekly Pay Period REG (Regular) HOL (Holiday Wrkd) OTM VHT [2e] SHT [2f] FHT [2g] PHT [2h] Hrs Elig for OTM [2i]
Total Unpaid FMLA Wk 2 [2k]
FOR OFFICE USE ONLY FMLA BEGIN DATE: UNPAID FMLA HRS: [1k]+[2k] PAID FMLA HRS:
[1e]+[2e] [1f]+[2f] [1g]+[2g] [1h]+[2h] FOR OFFICE USE ONLY CAJ (Comp. Time Adjustment)
VHT (Vac hours taken) SHT (Sick hours taken) FHT (Fam. Sick hours taken) PHT (Personal hours taken)
Employee's Signature - I certify that this timesheet is complete and accurately reflects my time and effort.
FAJ (Fam. Sick Leave Adjustment) PAJ (Personal Leave Adjustment) SAJ (Sick Leave Adjustment) LAV (Lump sum vacation) CMP (Comp Time Paid)
Supervisor's Signature - I have reviewed this timesheet and find it to be accurate. UM 13A (SEP 05) 8/12/2005
VAJ (Vacation Adjustment)