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Acknowledgment of Time Sheet

Today's Date

By signing this acknowledgment, I certify that I have carefully reviewed my time sheet for the pay period indicated below, and that the hours reported on this time sheet, including all start and stop times, are accurate. When applicable, I was provided with all meal and rest breaks to which I am entitled under federal and California law. I have not reported more or less time than I actually worked. I will not sign this time sheet if it is not accurate and will report any inaccuracies to my supervisor.

Pay Period

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