Time Sheet

NEW CARE ASSOCIATES, LLC

7 GLENWOOD AVE EAST ORANGE, NJ 07017

Please enter the exact time you worked followed with AM or PM.

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STAFF WORKER NAME Pay Period Start Date:
YOUTH'S NAME Pay Period End Date:
AUTHORIZATION PERIOD -
WEEKLY HOURS Employee Phone:
SERVICE PROVIDED Employee Email:
Notes
Day Date START TIME END TIME TOTAL HOURS
Monday08/08/2022
Tuesday08/09/2022
Wednesday08/10/2022
Thursday08/11/2022
Friday08/12/2022
Saturday08/13/2022
Sunday08/14/2022
Monday08/15/2022
Tuesday08/16/2022
Wednesday08/17/2022
Thursday08/18/2022
Friday08/19/2022
Saturday08/20/2022
Sunday08/21/2022
Total Hours
Total Pay

BY SUBMITTING, I CERTIFY THAT THE ABOVE INFORMATION IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE. I AM ALSO AGREEING THAT I WILL BE HELD RESPONSIBLE IF THE INFORMATION PROVIDED HAS BEEN FALSIFIED.