Time Card

EMPLOYEE'S TERMS & CONDITIONS

I understand that my work will be assigned and supervised by Lab Force's client. Nor am I authorized to put the name Lab Force, sign the name Lab Force, of use the name Lab Force, on any client reports or documents.

I understand that, as a Lab Force employee, I am not authorized to operate automotive equipment.

CLIENT'S TERMS & CONDITIONS

We understand that the employee of Lab Force is referred to us on a temporary basis. If our company or an affiliate employs this person on their payroll, or in a consulting capacity, we agree to pay their fee. We acknowledge that we received a copy of their fee schedule, and we further agree that payments made or due to Lab Force prior to the employee joining our organization will not be applied to the fee.

We understand that the Lab Force employee's work will be assigned and supervised by our organization. Nor are they authorized to put the name of Lab Force, sign the name Lab Force, or use the name Lab Force, on any reports or documents.

We understand that Lab Force's, employees are not authorized to operate automotive equipment. We therefore accept full responsibility for bodily injury, property damage, fire, theft, collision, or public liability claims, any of which may be caused by a result of an accident while a Lab Force employee is driving any vehicle in performance of the client’s work.

We understand that under no circumstances will Lab Force be liable for any claims unless such claims are reported in writing to Lab Force by our organization within 60 calendar days after termination of the person's temporary assignment.

We further understand that by signing this time record, we accept the terms specified in the Lab Force Temporary Placement Agreement and any supplements to that agreement.

Lab Force invoices are for labor and we agree to pay the invoices upon receipt.

I - 800 - 522 - 8324
EMPLOYEE SERVICE CENTER
P.O. Box 4180
Windham, NH 03087-4180
FAX 1-603-893-5191
TIME CARD

CLIENT'S NAME
(PRINT)
WORK LOCATION:
ADDRESS:
CITY: STATE: ZIP
EMPLOYEES
NAME (PRINT):
I certify the hours shown on this Time Card are correct, and that I performed the required services.
I have read the Employee's Terms & Conditions on the reverse side of this form and agree to adhere to them.
EMPLOYEE’S
SIGNATURE X

	DATE	TIME IN	LESS LUNCH	TIME OUT	TOTAL HRS PER DAY
SUN
MON
TUE
WED
THUR
FRI
SAT

REG HRS OTHER HRS

OT HRS TOTAL HRS

We certify the hours indicated are correct, and that the work performed was satisfactory. We have read the Client's Terms & Conditions on the reverse side of this form and agree to adhere to them.
CLIENT'S AUTHORIZED SIGNATURE

TITLE