Bemidji Regional Interdistrict Council

PO Box 974, Bemidji, MN  56619-0974 – 888-ISD-BRIC – 218-751-6622

TIME SHEET

Name:                                                                                                  School:                                                        

VERY IMPORTANT:  If you are subbing for BRIC for the first time, a W-4 form must be attached.

 

MON

TUES

WED

THURS

FRI

TOTAL HOURS

Notes:

Date

              

Time Worked or Leave Code

          

# of Hours

Worked

          
 

MON

TUES

WED

THURS

FRI

TOTAL HOURS

Notes:

Date

              

Time Worked or Leave Code

          

# of Hours

Worked

          
 

MON

TUES

WED

THURS

FRI

TOTAL HOURS

Notes:

Date

              

Time Worked or Leave Code

          

# of Hours

Worked

          

Leave Codes:  “S” – Sick; “P” – Personal; “H” – Holiday; “B” – Bereavement; “N” – No School

(Attach Pink Request for Leave as Appropriate.)

TOTAL HOURS WORKED:                                                          

Immediate Supervisor________________________ Date_________________

BRIC Supervisor___________________________ Date__________________

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