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Please be sure that you have read and agree to our Terms and Conditions .

Customer Worked for: * If Required

Customer Name: *

Address: *

Department Customer Worked for:

State: *

Zip: *

City: *

Employee Worked for:

Employee Name: *

Employee Social Security Number: *

[Last 4 digits Of Social Security Number]

Notify if Address has Changed: Assignment Completed?

Week Ending Date(Sunday)

Day

Date

Start

Stop

Less Meal Time

Reg. Hrs.

Overtime Hour

Hours Worked This Week:

Reg. Hrs:

Overtime Hours:

Total Hours:

It is hereby agreed that hours stated are correct and that work was performed satisfactorily.

Our Addresses

Tulsa Office
3617 S. Harvard
Tulsa, OK 74135
(918) 749-6999

Houston Office
10900 Northwest Freeway
Suite 219
Houston, TX 77092
(832) 767-0852

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