PRN INC DIRECT DEPOSIT SLIPS (TIME CARD)

NURSE'S NAME (LAST) (FIRST)
NURSE'S SIGNATURE
FACILITY NAME
UNIT WORKED

Day

Date
(month/day/year)
Shift

Area/Unit


Time In

Lunch Break Time Out Holiday Hours Total Hours* Supervisor's Signature (Supervisor MUST Sign Each Day) Supervisor MUST Approve Overtime
SUN / /
MON / /
TUE / /
WED / /
THU / /
FRI / /
SAT / /

*Any overtime hours must be pre-approved with nusring supervisor and PRN.

Time slip must be submitted to PRN within 7 days of last shift worked.

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