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Personal Information
Name: *
Week Ending: *
How do you want to receive your check: *
By Mail
Pickup
Monday
Date: *
Select one of the options below *:
Operator:
Oiler:
Truck Driver:
Shop:
Regular Hours Worked on Monday: *
Time and a Half Hours Woked on Monday: *
Double Time Hours Worked on Monday: *
Local #:
Miscellaneous:
Contractor: *
Location: *
Equipment #: *
Tuesday
Date: *
Select one of the options below *:
Operator:
Oiler:
Truck Driver:
Shop:
Regular Hours Worked on Tuesday: *
Time and a Half Hours Woked on Tuesday: *
Double Time Hours Worked on Tuesday: *
Local #:
Miscellaneous:
Contractor: *
Location: *
Equipment #: *
Wednesday
Date: *
Select one of the options below *:
Operator:
Oiler:
Truck Driver:
Shop:
Regular Hours Worked on Wednesday: *
Time and a Half Hours Woked on Wednesday: *
Double Time Hours Worked on Wednesday: *
Local #:
Miscellaneous:
Contractor: *
Location: *
Equipment #: *
Thursday
Date: *
Select one of the options below *:
Operator:
Oiler:
Truck Driver:
Shop:
Regular Hours Worked on Thursday: *
Time and a Half Hours Woked on Thursday: *
Double Time Hours Worked on Thursday: *
Local #:
Miscellaneous:
Contractor: *
Location: *
Equipment #: *
Friday
Date: *
Select one of the options below *:
Operator:
Oiler:
Truck Driver:
Shop:
Regular Hours Worked on Friday: *
Time and a Half Hours Woked on Friday: *
Double Time Hours Worked on Friday: *
Local #:
Miscellaneous:
Contractor: *
Location: *
Equipment #: *
Saturday
Date: *
Select one of the options below *:
Operator:
Oiler:
Truck Driver:
Shop:
Regular Hours Worked on Saturday: *
Time and a Half Hours Woked on Saturday: *
Double Time Hours Worked on Saturday: *
Local #:
Miscellaneous:
Contractor: *
Location: *
Equipment #: *
Sunday
Date: *
Select one of the options below *:
Operator:
Oiler:
Truck Driver:
Shop:
Regular Hours Worked on Sunday: *
Time and a Half Hours Woked on Sunday: *
Double Time Hours Worked on Sunday: *
Local #:
Miscellaneous:
Contractor: *
Location: *
Equipment #: *
Total Weekly Hours Worked
The numbers below reflect the total weekly hours worked for each category:
Total Weekly Regular Hours: *
Total Weekly Time and a Half Hours: *
Total Weekly Double Time Hours: *
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