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OFFICE OF HUMAN RESOURCES
HRIS PAYROLL ADMINISTRATION
Phone: (818) 677-2101
Fax: (818) 677-5870
Mail Drop: 8229
Campus Timesheet
(Work-Study / Student Assistant / Hourly)
Note: This form is required for every student and hourly employee.
I. Employee Information
LAST NAME FIRST NAME M.I. CSUN ID
III. Employer Information    
DEPARTMENT NAME DEPARTMENT ID JOB CODE
~ Job Code Legend ~
1150 - ISA, ON-CAMPUS 1151 - ISA, ON-CAMPUS WORK/STUDY 1152 - ISA, OFF-CAMPUS
1153 - ISA, OFF-CAMPUS WORK/STUDY 1800 - CASUAL WORKER 1870 - STUDENT ASSISTANT
1868 - NON-RESIDENT 1871 - W/S ON CAMPUS 1872 - W/S OFF CAMPUS
II. Time Record
PAYROLL PERIOD
MONTH
YEAR
 
1. Report Hours Worked During the Month Listed Above
 
2. See Payday Calendar for Payoll Period Dates
Report Fractions of Hours as Tenths
MINUTESTENTHS
1-60.1
7-120.2
13-180.3
19-240.4
25-300.5
31-360.6
37-420.7
43-480.8
49-540.9
55-601.0
Please See Your Supervisor for Other Job Codes
NOTE: Please enter the "Hourly Pay Rate" BEFORE pressing the calculate button.
Month Day Sun Mon Tue Wed Thu Fri Sat Weekly Total
MM DD HOURS HOURS HOURS HOURS HOURS HOURS HOURS HOURS


Payroll Period Total Hours: x Hourly Pay Rate: $ = Total Payroll Period Gross Earnings: $
EMPLOYEE SIGNATURE:_________________________________ DATE:_____________________ SUPERVISOR SIGNATURE:___________________________________ DATE:_____________________
 
PA-100 (CSUN AUTOMATED) Rev. 06/21/2013