University
of Minnesota
BIWEEKLY PAYROLL
TIME CARD
Crookston
  Employee ID Number: (same as Student ID)
Fund Area Org Employee
Class No.
  Student
Yes
No
   
Name :
Date AM PM Hours Pay Period
Ending
IN OUT IN OUT   Dept/Div
Name
Disposition of Time Worked:
Pay - Straight Time
Pay - Overtime
Exempt Employee only
Time off - Straight
Time off - Overtime
Hourly Rate $
Type of Pay Hours to be
Paid
Amount
Straight Time
Time and 1/2
Shift Diff @______
Comp Eared
Other
TOTAL HOURS WORKED PAY THIS AMOUNT 
I here by Certify that the time recorded represents actual hours of employment for the priod indicated
X______________________________________ X_____________________________________
Employee Signature Authorized Signature