Please complete the details below, print for authorisation and fax or scan/email by 9am Monday morning to:
Fax: 07 3832 8818
Employee Name:
Client Name:
Week ending Sunday:
Time Commenced
Time Finished
Lunch Break
Total Hours (excl Lunch Break)
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Weekly Total
Client Use
I hereby certify that the above hours are true and correct.
Authorised supervisor’s signature:
Contact Number:
Print Name:
Date:
Print Form
