

| date | day | start time | finish time | breaks | hours worked | day status |
|---|
| total hours: |
|---|
| submit all |
Client Declaration:
The above times stated are an accurate record of hours worked by the Contractor whose performance over these hours has been satisfactory and you are hereby authorized to invoice our organisation at the agreed rate to recieve payment in line with all clauses and parts of the prevailing agency terms & conditions of business.
| Name: | Signed: |