FormsStaffBenefits → PACS TIMESHEET Lunch/Recess Coverage (SEIU Only)

PACS TIMESHEET Lunch/Recess Coverage (SEIU Only)

Employee and Retiree Service Center

About this Form

Form number: 430-15

Audience: 

Last revised: May 2022


INSTRUCTIONS:

  1. Complete this form either digitally or in ink.
  2. Use a separate form for each biweekly pay period.
  3. Total hours reported for SEIU Classroom Coverage (Form 430-10S) and SEIU Lunch/Recess Coverage (this form) cannot exceed 7 hours per day.
  4. Sign this timesheet in ink or with a digital signature (not typed) and submit it to the principal or timekeeper.
  5. This form should be maintained with the school’s payroll records.

 

Adobe PDF PACS TIMESHEET Lunch/Recess Coverage (SEIU Only)
Employee and Retiree Service Center
73 KEnglish

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