All timecards should be signed and submitted at the end of your last shift.

Final Deadline: Monday at 10:00 AM

You should be provided with a facility specific process for clocking in and out by your facility. This timecard is required as a back-up to ensure accurate and timely pay, per Epic Health Services timecard policy.

If you were able to obtain a copy of your timecard/screenshot, please go here to upload Upload Documents. There is no need to manually fill out the below information if you upload your documents.

PLEASE USE MILITARY TIME/ 24 HOUR CLOCK TIME WHEN SUBMITTING HOURS

Name *

Email *

Facility *

Select Week Ending Date * +

Revised time sheet Revised time sheet

Sun

Date Sun +

Unit

Time In

Lunch 1 Start

Lunch 1 End

Lunch 2 Start

Lunch 2 End

Time Out

Total hours

No Lunch

Mon

Date Mon +

Unit

Time In

Lunch 1 Start

Lunch 1 End

Lunch 2 Start

Lunch 2 End

Time Out

Total hours

No Lunch

Tues

Date Tues +

Unit

Time In

Lunch 1 Start

Lunch 1 End

Lunch 2 Start

Lunch 2 End

Time Out

Total hours

No Lunch

Wed

Date Wed +

Unit

Time In

Lunch 1 Start

Lunch 1 End

Lunch 2 Start

Lunch 2 End

Time Out

Total hours

No Lunch

Thur

Date Thur +

Unit

Time In

Lunch 1 Start

Lunch 1 End

Lunch 2 Start

Lunch 2 End

Time Out

Total hours

No Lunch

Fri

Date Fri +

Unit

Time In

Lunch 1 Start

Lunch 1 End

Lunch 2 Start

Lunch 2 End

Time Out

Total hours

No Lunch

Sat

Date Sat +

Unit

Time In

Lunch 1 Start

Lunch 1 End

Lunch 2 Start

Lunch 2 End

Time Out

Total hours

No Lunch

Weekly Hours Worked

0.00

Other Hours

Other hours are considered: On Call, Call Back, Cancelled, COVID, or Charge hours

Type of other hours

Date +

Start

End

Total Hours

Cancelled by

Remarks

Type of other hours

Date +

Start

End

Total Hours

Cancelled by

Remarks

Type of other hours

Date +

Start

End

Total Hours

Cancelled by

Remarks

Type of other hours

Date +

Start

End

Total Hours

Cancelled by

Remark

Type of other hours

Date +

Start

End

Total Hours

Cancelled by

Remarks

Type of other hours

Date +

Start

End

Total Hours

Cancelled by

Remarks

Type of other hours

Date +

Start

End

Total Hours

Cancelled by

Remarks

Type of other hours

Date +

Start

End

Total Hours

Cancelled by

Remarks

Mileage hours

Sunday

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Mileage Sun

Mileage Mon

Mileage Tues

Mileage Wed

Mileage Thurs

Mileage Fri

Mileage Sat

Mileage Sun

Mileage Mon

Mileage Tues

Mileage Wed

Mileage Thurs

Mileage Fri

Mileage Sat

Mileage Sun

Mileage Mon

Mileage Tues

Mileage Wed

Mileage Thurs

Mileage Fri

Mileage Sat

Mileage Sun

Mileage Mon

Mileage Tues

Mileage Wed

Mileage Thurs

Mileage Fri

Mileage Sat

If your facility requires an OT, Missed Meals, or Missed Punch correction form, please upload here.

If you did not work your contracted hours, please let us know why

By submitting the attached Epic timecard, I certify that all hours reported are an accurate record of all hours worked during the reported pay period. I understand that if there is a variance between the hours reported on this timecard and the hours reported by the facility, I may be contacted for further clarification and/or approval. I acknowledge that per the timesheet submitted, I am certifying that I have taken (or voluntarily waived for my own personal reasons) all of the rest and meal period oppotunities to which I am entitled in accordance with Epic's policies and the law.

Travelers are expected to work their contracted hours. If Contracted hours are not met it's important to advise Emerald of the reason, please advise below: *

I worked my contracted hours for this week

I did not work my contracted hours

Signature *

clear

I would like include my Recruiter in this notification