261 Madison Ave. 2nd Fl.,
New York, NY 10016
212 - 743 - 0200		 Print & Fax to (212)743-0308
eStaffControl/United Staffing Systems, Inc.
Mail Midtown Downtown Direct Deposit
Social Security Number: - -

Name of employee
Client company name
Supervisor's name
Department
PO#
Phone ext.

Date  Time in Time out Minus Lunch Total Hours
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Week Ending Sunday,
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FOR USS EMPLOYEE
1. Use a separate time sheet for each assignment and for each week's work
2. Each time sheet must be signed by your supervisor at the job site
3. In order to be paid in a given week, you must fax this completed, signed time sheet to your local branch office 9 AM on Monday

OVERTIME HOURS
Overtime will be billed and paid at 1.5 times regular pay rate for hours worked in excess of 40 hours per week
TIME SLIPS ARE VALID FOR 30 DAYS.
ALTERED TIME SLIPS WILL NOT BE ACCEPTED.
  Week Total Hours(nearest 1/4 Hour) :
Minimum Assignment 4 hours
  Total Regular Hours :
  Total Overtime Hours :
 
  Assignment: Will continue Is complete
I have agreed to the Terms & Conditions.

EMPLOYEE'S SIGNATURE:
Before signing below, please make sure that all hours and totals are correct.
I certify that the hours shown are correct.

SUPERVISOR'S SIGNATURE:
By signing below, I certify that I understand and agree to the terms of this document and that I am authorized to sign on the company's behalf. I will be billed for the hours listed above. I certify that the hours shown are correct and authorize payment.
 Sign and Print