Exhibit_G_-_Labor_Activity_Report.xlsx

XLSX spreadsheet 11 KB Posted

Attached to
Master Agreement AZ|CTR066191
Contract number
CTR066191
Issued by
Arizona

About this file

This document is a Labor Activity Report template (Exhibit G) utilized by the Arizona Department of Economic Security, Division of Community Assistance and Development. The form functions as a time tracking and certification instrument for employees to document work activities and leave usage during designated pay periods.

The report captures daily work hours across a two-week period, categorizes time spent on specific programs or activities by fund source, and tracks leave usage including annual leave, sick leave, holiday time, and compensatory time. Employees and supervisors must certify the accuracy of recorded hours according to agency policies and procedures. The template includes fields for employee name, pay period dates, payday information, and requires dual signatures from both the employee and supervisor to validate the reported time allocations and fund distributions.

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Text version

Sheet1

Exhibit G - Labor Activity Report
ARIZONA DEPARTMENT OF ECONOMIC SECURITY
Division of Community Assistance and Development
Agency:

Pay Period: From: To: Payday:

Name:

Description of work activities Amount Fund % S M T W TH F S S M T W TH F S Total

TOTAL HOURS WORKED0ERROR:#DIV/0!000000000000000
Annual leave
Sick leave
Holiday
Comp. time used
TOTAL LEAVE/HOLIDAY/COMP0ERROR:#DIV/0!000000000000000
PAY PERIOD TOTAL0ERROR:#DIV/0!000000000000000

I certify that the hours above represent, to the best of my knowledge, an accurate record of the time that I have devoted to the identified programs and/or activities as per agency policies and procedures.

Supervisor Signature Date Employee Signature Date

File details come from the government source that posted it. Updated .