(School) (School) (School Address) Daily Time Record: AM Noon PM PM AM Noon PM PM
(School) (School) (School Address) Daily Time Record: AM Noon PM PM AM Noon PM PM
Name: Name:
Employee No. Employee No.
For the Month of: For the Month of:
Official Hours (Regular Days) Official Hours (Regular Days)
For Arrival /Departure _____ AM ______ AM For Arrival /Departure _____ AM ______ AM
_____ PM ______ PM _____ PM ______ PM
Required _____ AM ______ PM Required _____ AM ______ PM
Saturdays (as requested) _____ AM ______ PM Saturdays (as requested) _____ AM ______ PM
AM Noon PM PM AM Noon PM PM
Date Undertime Remarks Undertime
Date Remarks
Arrival Departure Arrival Departure Departure Departure
Arrival Arrival
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I certify on my honor that the above is true and correct I certify on my honor that the above is true and correct
report of the hours of work performed of which was made daily report of the hours of work performed of which was made daily
or time and departure from office. or time and departure from office.
________________________ _________________________
Signature Signature