Agudath Achim Time Sheet to Submit Hours to be Paid

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AGUDATH ACHIM TIME SHEET TO SUBMIT HOURS FOR PAY

Use this form to submit hours to be paid by Agudath Achim for work you have already done.

*You must have a W-9 on file to be paid by Agudath Achim. Depending on your job, there may be other paperwork that must be submitted as well.

**Note that Agudath Achim typically writes checks in the middle and the end of the month.

* First Name

* Last Name

* Email

* Cell Phone

* *Job Type

MUST Select Type of job

* Date of Work

Start Work Time

End Work Time

Number of Hours

Put total number of hours. If there is a minimum for your job, please put that number even if you actually worked fewer hours.

Hourly Rate

Enter amount you are paid per hour.

Total Pay

Enter total amount you believe you will be paid. This amount is subject to confirmation and may be reduced by taxes, etc.

Choose how to receive your check

Pick up check at Agudath Achim (Tues - Friday 9am -1pm)Please mail my check to address on file for mePlease mail my check to address shown below:

Address 1

Use this address instead of the address on file

ZIP code

Names of Others Authorized to Pickup Your Check

Optional

Comments or Questions:

Comments can include that the job reflects special pay scale (for example: new salary amount, overtime, "party pay," etc.), notes, or ask questions.

Wed, September 18 2024 15 Elul 5784