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To avoid delays processing your paycheck, please PRINT LEGIBLY with black or blue ink to complete ALL spaces!
PAY PERIOD: __________________to__________________ DEPARTMENT: __________________________
FULL NAME: _______________________________________ ACCOUNT: ___ ___ ___ ___ ___ ___ . ___ ___
SOCIAL SECURITY #: XXX - XX - ___ ___ ___ ___ HOURLY RATE: __________________________
Time worked must be in even units of hours and quarter hours: 1.25, 1.50, 1.75. (no extra minutes) Hours worked after midnight MUST be claimed as hours worked the next day, even if that day carries over into the next pay period or timesheet.
Please refer to the Student Payroll schedule for deadline dates. DATEHOURSTHURSDAYFRIDAYSATURDAYSUNDAYMONDAYTUESDAYWEDNESDAYTOTAL:TIMESHEETS MUST BE SUBMITTED TO THE PAYROLL OFFICE BY THE DEADLINE INDICATED ON THE PAYROLL SCHEDULE!
DATEHOURSTHURSDAYFRIDAYSATURDAYSUNDAYMONDAYTUESDAYWEDNESDAYTOTAL:
GRAND TOTAL:
I hereby certify that the above hours are correct. ______________________________________________________
(Students Signature)
I hereby certify that this timesheet is a true statement of the hours worked by this student, that the work assigned has been performed in a satisfactory manner, and that this student is a registered graduate/undergraduate student at SUNY Fredonia.
______________________________________________________
(Supervisors Signature)
INCOMPLETE/INACCURATE TIMESHEETS WILL BE RETURNED TO THE DEPARTMENT AND DELAY PAYMENT TO THE STUDENT.
STUDENT ASSISTANT
TIME RECORD
Attachment F
**Please copy timesheets for your records.
OFFICE USE ONLY
Line #: Checked In:
Hours:
Rate: Data Entry:
Gross:
Dates: PP#:
NOTE: Salary payments can be made ONLY after a fully completed Appointment Form, I-9 and current W-4 and IT-2104 forms are on file in the Payroll Office. Each student is permitted to work a maximum of 20 hours a week while school is in session, and 29 hours a week during vacation periods. This is the TOTAL number of hours allowed for all departments in which they work on Student Assistant and/or Work Study payrolls COMBINED.
PAYROLL SERVICES MAYTUM HALL (716) 673-3775
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