COMPLETE TIMESHEET AND SUBMIT IT. PRINTED COPY MUST BE SIGNED AND MAILED TO OFFICE AT NEKHC, PO Box 250,Newport, VT 05855. Mileage logs must be submitted in writing and will be paid next pay period.

Name :

Email Address :

Please indicate all times with AM or PM.

Sunday: Date:
Client: Start: End:
Client: Start: End:

Monday: Date:
Client: Start: End:
Client: Start: End:

Tuesday: Date:
Client: Start: End:
Client: Start: End:

Wednesday: Date:
Client: Start: End:
Client: Start: End:

Thursday: Date:
Client: Start: End:
Client: Start: End:

Friday: Date:
Client: Start: End:
Client: Start: End:

Saturday: Date:
Client: Start: End:
Client: Start: End:

Comments:

After completing the form, print a copy of the page. When you press submit, a copy will be sent to the office for payroll processing. You must sign your printout and mail it in for the office records.