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Submit Timesheet
Page 52
2026-06-05T10:38:39+00:00
Submit a timesheet
Name
(Required)
First
Last
Client/Company
(Required)
Ward/Area
Date of Shift
(Required)
DD dash MM dash YYYY
Start Time
(Required)
Hour
:
Minute
End Time
(Required)
Hour
:
Minute
Shift Break
(Required)
Hours
:
Minutes
Please note that mandatory breaks are required.
Total Hours Worked
(Required)
Comments
Candidate Signature
(Required)
Declaration
(Required)
By ticking this box and signing this form, both the Candidate and the Authorised Client Representative confirm that the information entered on this timesheet is true, accurate and complete. Both parties confirm that the dates, shift times, breaks and total hours worked are correct and authorise the submission of this timesheet for payment.
Both parties understand that knowingly providing or authorising false or misleading information may result in disciplinary action and may lead to civil or criminal proceedings. Both parties also consent to the disclosure of information contained within this timesheet where required for the purposes of verifying the claim and for the investigation, detection and prevention of fraud.
I confirm that I have read and agree to the above Declaration & Authorisation.
Client Representative Name
First
Last
Client Representative Signature
(Required)
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