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Biweekly Payroll Timesheet
This form is for departmental use. Be sure to include your payroll account
number in the shaded box below.
Pay Period Beginning and End Date
to
Last Name
First Name
Employee ID
I hereby certify that the time recorded represents actual hours of employment for the period indicated.
Employee Signature
Job Title
Project Name
Student
Yes No
Date
Out
In
Out
In
Out
Total
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Week 1 Hours
Date
Out
In
Out
In
Out
Total
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Week 2 Hours
Total Hours Worked for Pay Period
Supervisor Verification: Repeat Total Hours Worked
1. Hours at
Straight Time
2. Hours at
Time & ½
3. Hours at
Double Time
Hours to Pay
Shift Differential
Combination (Combo) Code
Chartfield String (CFS)
Fund
DeptID
Project/Program
Chartfield 1
Chartfield 2
Supervisor Signature
Date
The University of Minnesota is an equal opportunity educator & employer.
2012 by the Regents of the University of Minnesota.
Route this form to:
This form is for
departmental use.
U Wide Form
UM 680
Rev: 06/12
OR
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