Supplemental health care timesheet 2026

1. Click ‘Get Form’ to open the supplemental health care timesheet in the editor.
2. Begin by entering your full legal name and the week ending date at the top of the form. Ensure that the date is formatted as mm/dd/yy.
3. In the designated fields, provide your employee signature and client name, along with your discipline and last four digits of your SS#. This information is crucial for verification.
4. Fill in each day of the week with your work mode (Regular, On Call, Call Back, Orientation) by checking the appropriate box. Record your shift details including 'In', 'Out', and 'Lunch' times.
5. Calculate total hours worked for each day and ensure you accurately report any overtime or guarantee hours in their respective sections.
6. Finally, review all entries for accuracy before signing off on both employee and client signature sections to confirm agreement on reported hours.

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