Bi-Weekly Time Report

The University of Texas-Houston Health Science Center

________________________________________		________________________________________
Name		Pay Period
________________________________________		________________________________________
Social Security Number		Unit/Department

Please mark hours on the calendar for any exception time and/or leave taken (including codes) for the current pay period. Blank squares indicate days worked or non-work days. If you took no leave during the pay period, please indicate below, no leave taken. Please return this report to the designated timekeeper in your area by the end of the pay period. All employees must complete the bottom section of this form if the calendar contains items affecting gross pay (see Bi-weekly Codes – Submit to Payroll).

Sat	Sun	Mon	Tue	Wed	Thu	Fri
Sat	Sun	Mon	Tue	Wed	Thu	Fri

	No Leave Taken ( )
Bi-weekly Codes
Submit to Payroll	Do Not Submit to Payroll
B004 – Hours worked (Casual Employees)	V – Vacation	J – Jury Duty
D150 – Shift Differential (Night)	PS – Personal Sick Leave	F – Funeral
D152 – Shift Differential (Evening)	FS – Family Sick Leave	M – Military
L286 – Leave Without Pay	PH – Preventive Health Care	CE – Comp Time Earned
X390 – Overtime at 1.0	H – Holiday	CT – Comp Time Taken
X392 – Overtime at 1.5	A – Administrative Leave
X396 – Overtime for exempt at 1.0
X398 – Overtime for exempt at 1.5

________________________________________		________________________________________
Signature		Dean, Director, Administrative Supervisor

Comments:	____________________________________________________________________________
	____________________________________________________________________________
	____________________________________________________________________________

Complete below if calendar contains codes to be submitted to payroll.

EARNING CODE(S)	JOB/BOCC*	FTE	TOTAL HOURS

*To be filled in by timekeeper