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NDSEC Time Sheet
All employees must have a completed W-4 on file with the Business Office. If we do not have a valid W-4 on file, taxes will be withheld at a single rate with zero exemptions (per I.R.S. Circular E).
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* Indicates required question
Please choose your supervisor.
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Amy Ramsay
Colleen Clifford
James Zinni
Julie Neenan
Kelly Gould
Nicole Melquist
Ryan Kozin
Shalagh O'Neill
Susan Zikuda
Todd Putnam
First Name:
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Your answer
Last Name:
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Your answer
Street Address:
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Your answer
City:
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Your answer
State:
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Your answer
Zip Code:
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Your answer
Email Address:
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Your answer
Position:
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Your answer
School:
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Your answer
Are you a regular NDSEC employee?
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Yes
No
Category:
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Substitute Teacher
Substitute Aide
Late Bus Supervision
Other:
Please describe your additional hours/responsibility.
Your answer
If you reached your 16th day of consecutive substitute teaching, please enter the date below.
MM
/
DD
/
YYYY
Enter the name of the person you were substituting for:
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Your answer
Add the dates and times below.
Up to five days can be added on this form.
Enter the date of work being performed on day 1:
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MM
/
DD
/
YYYY
Enter the time in on day 1: (be sure to identify AM/PM)
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Time
:
AM
PM
Enter the time out on day 1: (be sure to identify AM/PM)
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Time
:
AM
PM
Was a 30 minute lunch break taken?
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Yes
No
Do you need to add second day to this time sheet submission?
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Yes
No
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