Front Office Payroll Submission

Front Office Payroll Submission
Employee Name*

First NameLast Name
Payroll Date*

MonthDayYear
I attest that what is on my time card is accurate.*

YESNO
I attest that during this pay period I have received 30 minutes for lunch (after 5 hours of work) and taken two 10-minute breaks (one in the morning and one in the afternoon).*

YESNO
I attest that during this pay period, I have not been a victim of office or sexual harassment.*

YESNO
By initialing this document,

I certify that all of this information is accurate and true.

AND

I certify that I have not been sexually or physically harassed by a TW employee during this pay period.
Initials*
Date*

MonthDayYear
Should be Empty: