Time Sheet

Please report the total total time worked using the form below or text the total hours worked to 801-576-0335. As we pay our staff daily, we request that you report the hours worked within ten minutes of the temp’s departure from your office.

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Name of Dentist or Practice *

Name of Primary Contact *

Contact Phone *

Contact Email *

Name of Temp *

First

Last

Time Reporting

Date worked

Total hours worked

to worked help

Name of Person Completing Form *

First

Last

Additional information to help Doctors Staffing

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