Biweekly Payroll Timesheet Template
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Route this form to:

U Wide Form
UM 680

This form is for
departmental use.
Rev: 06/12

Biweekly Payroll Timesheet
This form is for departmental use. Be sure to include your payroll account
number in the shaded box below.

Pay Period Beginning and End Date
to

Last Name
First Name

Employee ID

I hereby certify that the time recorded represents actual hours of employment for the period indicated.
Employee Signature
Job Title
Project Name

Student
Date

In

Out

In

Out

In

Yes
Out

No
Total

Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Week 1 Hours
Date

In

Out

In

Out

In

Out

Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Week 2 Hours
Total Hours Worked for Pay Period
Supervisor Verification: Repeat Total Hours Worked
1. Hours at
2. Hours at
Straight Time
Time & ½

3. Hours at
Double Time

Hours to Pay
Shift Differential

Combination (Combo) Code
OR

Chartfield String (CFS)
Fund
DeptID

Supervisor Signature

Project/Program

Chartfield 1