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2. Fredericksburg EMS Time Sheet
4. First Name*
5. Last Name*
7. Last Day in Pay Period*
   Last Day in Pay Period
8. Month*
   -- Select One --JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember
12. Week 1
13. Week 2
15. Thursday
16. Thursday
18. Friday
19. Friday
21. Saturday
22. Saturday
24. Sunday
25. Sunday
27. Monday
28. Monday
30. Tuesday
31. Tuesday
33. Wednesday
34. Wednesday
38. Totals
40. Hours*
41. Overtime
42. Comp
43. PTO Taken
45. Notes to Lori
49. Electronic Signature*
50. EMS Captain Signature
52. By typing my name to the above (Electronic Signature), I understand that I am signing this legal document for the City of Fredericksburg.
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54. 1. Receive an email copy of this form.
55. Email address

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56. Submit

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