SOP 104.20-att-3: Hourly Employee Pay Record

Division:
Administrative & Finance
Effective Date:
April 27, 2021
Reference Code:
IVO03-0014
Topic Area:
Human Resources - Applicant/Vacancy/Hiring/Position
PowerDMS:
View on PowerDMS
Length:
218 words

Summary

This form is used to record daily work hours and meal breaks for hourly employees in the Georgia Department of Corrections. Employees must document their start time, meal period start and end times, and end time for each day worked during a pay period. The completed form must be signed by both the employee and supervisor, then submitted to the Center for Human Resources Management (CHRM) by the established payroll cutoff date to ensure timely payment.

Key Topics

  • hourly employee
  • time sheet
  • time record
  • work hours
  • meal breaks
  • time tracking
  • payroll
  • pay period
  • employee signature
  • supervisor certification
  • CHRM submission
  • paycheck

Full Text

# HOURLY EMPLOYEE PAY RECORD

MONTH: _______________

NAME: EMPLOYEE ID #:

SOP 104.20
Attachment 3

4/27/21

JOB TITLE:

FACILITY/OFFICE:

PAY PERIOD: FROM DATE: THROUGH DATE:

|PAY PERIODS
CHECK THE ONE
THAT APPLIES|Col2|DAY|TIME STARTED|TIME MEAL
STARTED|TIME MEAL
ENDED|TIME ENDED|TOTAL HOURS/
MINUTES WORKED|
|---|---|---|---|---|---|---|---|
|||||||||
|1|16|||||||
|2|17|||||||
|3|18|||||||
|4|19|||||||
|5|20|||||||
|6|21|||||||
|7|22|||||||
|8|23|||||||
|9|24|||||||
|10|25|||||||
|11|26|||||||
|12|27|||||||
|13|28|||||||
|14|29|||||||
|15|30|||||||
||31|||||||
|I certify that this time sheet is accurate and correct.
Date: Employee’s Signature: ____________________________________|I certify that this time sheet is accurate and correct.
Date: Employee’s Signature: ____________________________________|I certify that this time sheet is accurate and correct.
Date: Employee’s Signature: ____________________________________|I certify that this time sheet is accurate and correct.
Date: Employee’s Signature: ____________________________________|I certify that this time sheet is accurate and correct.
Date: Employee’s Signature: ____________________________________|I certify that this time sheet is accurate and correct.
Date: Employee’s Signature: ____________________________________|I certify that this time sheet is accurate and correct.
Date: Employee’s Signature: ____________________________________|Total Hours/ Minutes
Worked
|

I certify that the above accurately reflects actual hours and minutes worked.

Date: ____________ Supervisor’s Signature: ___________________________________

Date: ____________ Appointing Authority’s Signature: ___________________________

Note: This form must be submitted to CHRM by the established field cut-off date each pay period. Late
time sheets may result in the paycheck being delayed a full pay period.

Retention schedule: Upon completion, this form shall be retained for three (3) years in the local time keeping file.

Attachments (4)

  1. Budget Approval/Justification Form (88 words)
  2. Hourly Employee Time Record (For Non-Security Employees) - 7 Day Work Cycle (459 words)
  3. Hourly Employee Pay Record (218 words)
  4. Hourly Time Sheet Report (68 words)
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