**please print employee name ( last name, first name mi
TRANSCRIPT
ATTENDANCE & LEAVE REPORT( CHARGED PAY )
**User ID
**PLEASE PRINT Employee Name ( Last Name, First Name MI )
**Employee Signature **Date
Approver Email
I hereby certify that I have reviewed this recordand that it represents a true and correct recordof hours worked, authorized overtime andauthorized leave. Intentional falsification of thisreport shall be cause for dismissal in accordancewith the Florida Administrative Code.
FAX TO 800-272-2830
**PLEASE PRINT Approver Name ( Last Name, First Name MI )
**Date**Approver Signature
**Approver User ID
**Pay Period From ( MM / DD / YY )
**Pay Period To ( MM / DD / YY )
CHARGE OBJECT ACTIVITY SUB ACT
HRS TYPE
HOURS(HRS | MIN)
HRS TYPE
HOURS(HRS | MIN)
HRS TYPE
HOURS(HRS | MIN)
HRS TYPE
HOURS(HRS | MIN)
HRS TYPE
HOURS(HRS | MIN)
HRS TYPE
HOURS(HRS | MIN)
HRS TYPE
HOURS(HRS | MIN)
ONLY ORIGINAL FORMS ON LEGALSIZED PAPER WILL BE PROCESSED
TOTALHRS DAILY
Approver Tel #
**Position Code**Agency
Page Of
RF
I
SUN
SAT
MON
TUE
WED
THU
TOTAL HOURSWEEK
TOTAL HOURSLEAVE
TOTAL HOURSWORKED
FMLA FMLA FMLA FMLA FMLA FMLA FMLA
STATE OF FLORIDA
OT Code OT Hours
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OT Code OT Hours
OT Code OT Hours
OT Code OT Hours
OT Code OT Hours
OT Code OT Hours
OT Code OT Hours
OT Code OT Hours
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OT Code OT Hours
OT Code OT Hours
OPS