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WEEKLY TIMESHEET
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MONDAY
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End Time
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Shift Hours
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Overtime Hours
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On Call
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Additional Call Hours
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Total Hours
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TUESDAY
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End Time
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On Call
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Additional Call Hours
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Total Hours
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WEDNESDAY
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Shift Hours
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On Call
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Additional Call Hours
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THURSDAY
Start Time
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End Time
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Shift Hours
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Overtime Hours
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On Call
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No
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Additional Call Hours
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Total Hours
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FRIDAY
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End Time
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Shift Hours
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Overtime Hours
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On Call
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Additional Call Hours
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Total Hours
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SATURDAY
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End Time
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Shift Hours
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Overtime Hours
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On Call
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Additional Call Hours
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SUNDAY
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End Time
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Shift Hours
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Overtime Hours
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On Call
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Additional Call Hours
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Total Hours
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WEEKLY TOTALS
WEEKLY TOTALS
WEEKLY TOTALS
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Total Shift Hours
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Total Overtime Hours
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Total Addtional Call Hours
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Grand Total Weekly Hours
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REIMBURSEMENTS
Mileage
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Other (receipt uploads required)
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Do you have receipts to upload?
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Upload Your Receipts
Upload your receipts...
[{"field":"{receipts}","logic":"equal","value":"yes_receipts","and_method":"","field_and":"","logic_and":"","value_and":""}]
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Physician Signature
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