Faculty Timesheet With Payroll
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PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE Instructional Voucher
PRINT FACULTY MEMBER’S NAME COURSE TAUGHT SERVICE RENDERED OR ASSIGNMENT
LECTURED TO:
FULL CLASS SMALL GROUP
DATE SERVICE RENDERED
TIME SERVICE RENDERED
SIGNATURE OF FACULTY MEMBER
FROM AUTHORIZED SIGNATURE
PAYROLL INFORMATION: SOCIAL SECURITY CITY
STATE
STREET ADDRESS ZIP
TELEPHONE
to
PRINT FACULTY MEMBER’S NAME COURSE TAUGHT SERVICE RENDERED OR ASSIGNMENT
LECTURED TO:
FULL CLASS SMALL GROUP
DATE SERVICE RENDERED
TIME SERVICE RENDERED
SIGNATURE OF FACULTY MEMBER
FROM AUTHORIZED SIGNATURE
PAYROLL INFORMATION: SOCIAL SECURITY CITY
STATE
STREET ADDRESS ZIP
TELEPHONE
to
