The University Corporation 18111 Nordhoff Street

Northridge, CA 91330-8309

Attendance Report For Salaried Employees Phone: (818) 677-5298

Fax: (818) 677-2671

NOTES:
In order to process the Salary Payment Authorization in time, the completed forms must be received at The University Corporation no later than 10 am the first business Submittals cannot be paid if signatures and/or cost
day following the end of the payperiod, or it will be paid the following pay period. allocation are/is omitted!

1. Pay Period: From: To:

2. Cost Allocation
Account Fund Department Project ADP Code

3. Attendance of Employees
Date thereof:
1st 2nd 3rd 4th 5th 6th 7th 8th 9th 10th 11th 12th 13th 14th 15th Total Total Total Total Total Total
Employee Name 16th 17th 18th 19th 20th 21st 22nd 23rd 24th 25th 26th 27th 28th 29th 30th 31st Compensated Sick Leave Vacation Leave PH, holiday cr. taken Overtime
hours hours hours hours hours hours hours hours hours hours hours hours hours hours hours hours hours hours hours hours hours hours

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 0

4. Certification By Supervisor / Project Director

I hereby certify that this is a true and accurate report of the attendance of the persons listed hereon, for the period indicated.
Name: Mail Drop:
E-Mail: Valid Signature Authorization
must be on file at TUC !
Extension:
(Signature)

Attendance Report for Salaried Employees - Version 2007-0201