Single
Married
Divorced
Widowed
-:--
5:00 A
5:15 A
5:30 A
5:45 A
6:00 A
6:15 A
6:30 A
6:45 A
7:00 A
7:15 A
7:30 A
7:45 A
8:00 A
8:15 A
8:30 A
8:45 A
9:00 A
9:15 A
9:30 A
9:45 A
10:00 A
10:15 A
10:30 A
10:45 A
11:00 A
11:15 A
11:30 A
11:45 A
12:00 P
12:15 P
12:30 P
12:45 P
1:00 P
1:15 P
1:30 P
1:45 P
2:00 P
2:15 P
2:30 P
2:45 P
3:00 P
3:15 P
3:30 P
3:45 P
4:00 P
4:15 P
4:30 P
4:45 P
5:00 P
5:15 P
5:30 P
5:45 P
6:00 P
6:15 P
6:30 P
6:45 P
7:00 P
7:15 P
7:30 P
7:45 P
8:00 P
8:15 P
8:30 P
8:45 P
9:00 P
9:15 P
9:30 P
9:45 P
10:00 P
-:--
5:00 A
5:15 A
5:30 A
5:45 A
6:00 A
6:15 A
6:30 A
6:45 A
7:00 A
7:15 A
7:30 A
7:45 A
8:00 A
8:15 A
8:30 A
8:45 A
9:00 A
9:15 A
9:30 A
9:45 A
10:00 A
10:15 A
10:30 A
10:45 A
11:00 A
11:15 A
11:30 A
11:45 A
12:00 P
12:15 P
12:30 P
12:45 P
1:00 P
1:15 P
1:30 P
1:45 P
2:00 P
2:15 P
2:30 P
2:45 P
3:00 P
3:15 P
3:30 P
3:45 P
4:00 P
4:15 P
4:30 P
4:45 P
5:00 P
5:15 P
5:30 P
5:45 P
6:00 P
6:15 P
6:30 P
6:45 P
7:00 P
7:15 P
7:30 P
7:45 P
8:00 P
8:15 P
8:30 P
8:45 P
9:00 P
9:15 P
9:30 P
9:45 P
10:00 P
-:--
5:00 A
5:15 A
5:30 A
5:45 A
6:00 A
6:15 A
6:30 A
6:45 A
7:00 A
7:15 A
7:30 A
7:45 A
8:00 A
8:15 A
8:30 A
8:45 A
9:00 A
9:15 A
9:30 A
9:45 A
10:00 A
10:15 A
10:30 A
10:45 A
11:00 A
11:15 A
11:30 A
11:45 A
12:00 P
12:15 P
12:30 P
12:45 P
1:00 P
1:15 P
1:30 P
1:45 P
2:00 P
2:15 P
2:30 P
2:45 P
3:00 P
3:15 P
3:30 P
3:45 P
4:00 P
4:15 P
4:30 P
4:45 P
5:00 P
5:15 P
5:30 P
5:45 P
6:00 P
6:15 P
6:30 P
6:45 P
7:00 P
7:15 P
7:30 P
7:45 P
8:00 P
8:15 P
8:30 P
8:45 P
9:00 P
9:15 P
9:30 P
9:45 P
10:00 P
-:--
5:00 A
5:15 A
5:30 A
5:45 A
6:00 A
6:15 A
6:30 A
6:45 A
7:00 A
7:15 A
7:30 A
7:45 A
8:00 A
8:15 A
8:30 A
8:45 A
9:00 A
9:15 A
9:30 A
9:45 A
10:00 A
10:15 A
10:30 A
10:45 A
11:00 A
11:15 A
11:30 A
11:45 A
12:00 P
12:15 P
12:30 P
12:45 P
1:00 P
1:15 P
1:30 P
1:45 P
2:00 P
2:15 P
2:30 P
2:45 P
3:00 P
3:15 P
3:30 P
3:45 P
4:00 P
4:15 P
4:30 P
4:45 P
5:00 P
5:15 P
5:30 P
5:45 P
6:00 P
6:15 P
6:30 P
6:45 P
7:00 P
7:15 P
7:30 P
7:45 P
8:00 P
8:15 P
8:30 P
8:45 P
9:00 P
9:15 P
9:30 P
9:45 P
10:00 P
-:--
5:00 A
5:15 A
5:30 A
5:45 A
6:00 A
6:15 A
6:30 A
6:45 A
7:00 A
7:15 A
7:30 A
7:45 A
8:00 A
8:15 A
8:30 A
8:45 A
9:00 A
9:15 A
9:30 A
9:45 A
10:00 A
10:15 A
10:30 A
10:45 A
11:00 A
11:15 A
11:30 A
11:45 A
12:00 P
12:15 P
12:30 P
12:45 P
1:00 P
1:15 P
1:30 P
1:45 P
2:00 P
2:15 P
2:30 P
2:45 P
3:00 P
3:15 P
3:30 P
3:45 P
4:00 P
4:15 P
4:30 P
4:45 P
5:00 P
5:15 P
5:30 P
5:45 P
6:00 P
6:15 P
6:30 P
6:45 P
7:00 P
7:15 P
7:30 P
7:45 P
8:00 P
8:15 P
8:30 P
8:45 P
9:00 P
9:15 P
9:30 P
9:45 P
10:00 P
-:--
5:00 A
5:15 A
5:30 A
5:45 A
6:00 A
6:15 A
6:30 A
6:45 A
7:00 A
7:15 A
7:30 A
7:45 A
8:00 A
8:15 A
8:30 A
8:45 A
9:00 A
9:15 A
9:30 A
9:45 A
10:00 A
10:15 A
10:30 A
10:45 A
11:00 A
11:15 A
11:30 A
11:45 A
12:00 P
12:15 P
12:30 P
12:45 P
1:00 P
1:15 P
1:30 P
1:45 P
2:00 P
2:15 P
2:30 P
2:45 P
3:00 P
3:15 P
3:30 P
3:45 P
4:00 P
4:15 P
4:30 P
4:45 P
5:00 P
5:15 P
5:30 P
5:45 P
6:00 P
6:15 P
6:30 P
6:45 P
7:00 P
7:15 P
7:30 P
7:45 P
8:00 P
8:15 P
8:30 P
8:45 P
9:00 P
9:15 P
9:30 P
9:45 P
10:00 P
-:--
5:00 A
5:15 A
5:30 A
5:45 A
6:00 A
6:15 A
6:30 A
6:45 A
7:00 A
7:15 A
7:30 A
7:45 A
8:00 A
8:15 A
8:30 A
8:45 A
9:00 A
9:15 A
9:30 A
9:45 A
10:00 A
10:15 A
10:30 A
10:45 A
11:00 A
11:15 A
11:30 A
11:45 A
12:00 P
12:15 P
12:30 P
12:45 P
1:00 P
1:15 P
1:30 P
1:45 P
2:00 P
2:15 P
2:30 P
2:45 P
3:00 P
3:15 P
3:30 P
3:45 P
4:00 P
4:15 P
4:30 P
4:45 P
5:00 P
5:15 P
5:30 P
5:45 P
6:00 P
6:15 P
6:30 P
6:45 P
7:00 P
7:15 P
7:30 P
7:45 P
8:00 P
8:15 P
8:30 P
8:45 P
9:00 P
9:15 P
9:30 P
9:45 P
10:00 P
-:--
5:00 A
5:15 A
5:30 A
5:45 A
6:00 A
6:15 A
6:30 A
6:45 A
7:00 A
7:15 A
7:30 A
7:45 A
8:00 A
8:15 A
8:30 A
8:45 A
9:00 A
9:15 A
9:30 A
9:45 A
10:00 A
10:15 A
10:30 A
10:45 A
11:00 A
11:15 A
11:30 A
11:45 A
12:00 P
12:15 P
12:30 P
12:45 P
1:00 P
1:15 P
1:30 P
1:45 P
2:00 P
2:15 P
2:30 P
2:45 P
3:00 P
3:15 P
3:30 P
3:45 P
4:00 P
4:15 P
4:30 P
4:45 P
5:00 P
5:15 P
5:30 P
5:45 P
6:00 P
6:15 P
6:30 P
6:45 P
7:00 P
7:15 P
7:30 P
7:45 P
8:00 P
8:15 P
8:30 P
8:45 P
9:00 P
9:15 P
9:30 P
9:45 P
10:00 P
-:--
5:00 A
5:15 A
5:30 A
5:45 A
6:00 A
6:15 A
6:30 A
6:45 A
7:00 A
7:15 A
7:30 A
7:45 A
8:00 A
8:15 A
8:30 A
8:45 A
9:00 A
9:15 A
9:30 A
9:45 A
10:00 A
10:15 A
10:30 A
10:45 A
11:00 A
11:15 A
11:30 A
11:45 A
12:00 P
12:15 P
12:30 P
12:45 P
1:00 P
1:15 P
1:30 P
1:45 P
2:00 P
2:15 P
2:30 P
2:45 P
3:00 P
3:15 P
3:30 P
3:45 P
4:00 P
4:15 P
4:30 P
4:45 P
5:00 P
5:15 P
5:30 P
5:45 P
6:00 P
6:15 P
6:30 P
6:45 P
7:00 P
7:15 P
7:30 P
7:45 P
8:00 P
8:15 P
8:30 P
8:45 P
9:00 P
9:15 P
9:30 P
9:45 P
10:00 P
-:--
5:00 A
5:15 A
5:30 A
5:45 A
6:00 A
6:15 A
6:30 A
6:45 A
7:00 A
7:15 A
7:30 A
7:45 A
8:00 A
8:15 A
8:30 A
8:45 A
9:00 A
9:15 A
9:30 A
9:45 A
10:00 A
10:15 A
10:30 A
10:45 A
11:00 A
11:15 A
11:30 A
11:45 A
12:00 P
12:15 P
12:30 P
12:45 P
1:00 P
1:15 P
1:30 P
1:45 P
2:00 P
2:15 P
2:30 P
2:45 P
3:00 P
3:15 P
3:30 P
3:45 P
4:00 P
4:15 P
4:30 P
4:45 P
5:00 P
5:15 P
5:30 P
5:45 P
6:00 P
6:15 P
6:30 P
6:45 P
7:00 P
7:15 P
7:30 P
7:45 P
8:00 P
8:15 P
8:30 P
8:45 P
9:00 P
9:15 P
9:30 P
9:45 P
10:00 P
-:--
5:00 A
5:15 A
5:30 A
5:45 A
6:00 A
6:15 A
6:30 A
6:45 A
7:00 A
7:15 A
7:30 A
7:45 A
8:00 A
8:15 A
8:30 A
8:45 A
9:00 A
9:15 A
9:30 A
9:45 A
10:00 A
10:15 A
10:30 A
10:45 A
11:00 A
11:15 A
11:30 A
11:45 A
12:00 P
12:15 P
12:30 P
12:45 P
1:00 P
1:15 P
1:30 P
1:45 P
2:00 P
2:15 P
2:30 P
2:45 P
3:00 P
3:15 P
3:30 P
3:45 P
4:00 P
4:15 P
4:30 P
4:45 P
5:00 P
5:15 P
5:30 P
5:45 P
6:00 P
6:15 P
6:30 P
6:45 P
7:00 P
7:15 P
7:30 P
7:45 P
8:00 P
8:15 P
8:30 P
8:45 P
9:00 P
9:15 P
9:30 P
9:45 P
10:00 P
-:--
5:00 A
5:15 A
5:30 A
5:45 A
6:00 A
6:15 A
6:30 A
6:45 A
7:00 A
7:15 A
7:30 A
7:45 A
8:00 A
8:15 A
8:30 A
8:45 A
9:00 A
9:15 A
9:30 A
9:45 A
10:00 A
10:15 A
10:30 A
10:45 A
11:00 A
11:15 A
11:30 A
11:45 A
12:00 P
12:15 P
12:30 P
12:45 P
1:00 P
1:15 P
1:30 P
1:45 P
2:00 P
2:15 P
2:30 P
2:45 P
3:00 P
3:15 P
3:30 P
3:45 P
4:00 P
4:15 P
4:30 P
4:45 P
5:00 P
5:15 P
5:30 P
5:45 P
6:00 P
6:15 P
6:30 P
6:45 P
7:00 P
7:15 P
7:30 P
7:45 P
8:00 P
8:15 P
8:30 P
8:45 P
9:00 P
9:15 P
9:30 P
9:45 P
10:00 P
-:--
5:00 A
5:15 A
5:30 A
5:45 A
6:00 A
6:15 A
6:30 A
6:45 A
7:00 A
7:15 A
7:30 A
7:45 A
8:00 A
8:15 A
8:30 A
8:45 A
9:00 A
9:15 A
9:30 A
9:45 A
10:00 A
10:15 A
10:30 A
10:45 A
11:00 A
11:15 A
11:30 A
11:45 A
12:00 P
12:15 P
12:30 P
12:45 P
1:00 P
1:15 P
1:30 P
1:45 P
2:00 P
2:15 P
2:30 P
2:45 P
3:00 P
3:15 P
3:30 P
3:45 P
4:00 P
4:15 P
4:30 P
4:45 P
5:00 P
5:15 P
5:30 P
5:45 P
6:00 P
6:15 P
6:30 P
6:45 P
7:00 P
7:15 P
7:30 P
7:45 P
8:00 P
8:15 P
8:30 P
8:45 P
9:00 P
9:15 P
9:30 P
9:45 P
10:00 P
-:--
5:00 A
5:15 A
5:30 A
5:45 A
6:00 A
6:15 A
6:30 A
6:45 A
7:00 A
7:15 A
7:30 A
7:45 A
8:00 A
8:15 A
8:30 A
8:45 A
9:00 A
9:15 A
9:30 A
9:45 A
10:00 A
10:15 A
10:30 A
10:45 A
11:00 A
11:15 A
11:30 A
11:45 A
12:00 P
12:15 P
12:30 P
12:45 P
1:00 P
1:15 P
1:30 P
1:45 P
2:00 P
2:15 P
2:30 P
2:45 P
3:00 P
3:15 P
3:30 P
3:45 P
4:00 P
4:15 P
4:30 P
4:45 P
5:00 P
5:15 P
5:30 P
5:45 P
6:00 P
6:15 P
6:30 P
6:45 P
7:00 P
7:15 P
7:30 P
7:45 P
8:00 P
8:15 P
8:30 P
8:45 P
9:00 P
9:15 P
9:30 P
9:45 P
10:00 P
NONE
15 min
30 min
45 min
1 hr
1 hr 15 min
1 hr 30 min
1 hr 45 min
2 hr
2 hr 15 min
2 hr 30 min
2 hr 45 min
3 hr
3 hr 15 min
3 hr 30 min
3 hr 45 min
4 hr
NONE
15 min
30 min
45 min
1 hr
1 hr 15 min
1 hr 30 min
1 hr 45 min
2 hr
2 hr 15 min
2 hr 30 min
2 hr 45 min
3 hr
3 hr 15 min
3 hr 30 min
3 hr 45 min
4 hr
NONE
15 min
30 min
45 min
1 hr
1 hr 15 min
1 hr 30 min
1 hr 45 min
2 hr
2 hr 15 min
2 hr 30 min
2 hr 45 min
3 hr
3 hr 15 min
3 hr 30 min
3 hr 45 min
4 hr
NONE
15 min
30 min
45 min
1 hr
1 hr 15 min
1 hr 30 min
1 hr 45 min
2 hr
2 hr 15 min
2 hr 30 min
2 hr 45 min
3 hr
3 hr 15 min
3 hr 30 min
3 hr 45 min
4 hr
NONE
15 min
30 min
45 min
1 hr
1 hr 15 min
1 hr 30 min
1 hr 45 min
2 hr
2 hr 15 min
2 hr 30 min
2 hr 45 min
3 hr
3 hr 15 min
3 hr 30 min
3 hr 45 min
4 hr
NONE
15 min
30 min
45 min
1 hr
1 hr 15 min
1 hr 30 min
1 hr 45 min
2 hr
2 hr 15 min
2 hr 30 min
2 hr 45 min
3 hr
3 hr 15 min
3 hr 30 min
3 hr 45 min
4 hr
NONE
15 min
30 min
45 min
1 hr
1 hr 15 min
1 hr 30 min
1 hr 45 min
2 hr
2 hr 15 min
2 hr 30 min
2 hr 45 min
3 hr
3 hr 15 min
3 hr 30 min
3 hr 45 min
4 hr
1. Verify both office & temp email addr before submitting
2. Professional Dental Staffing automatically gets a copy
Employee:
CLIENT AGREES THAT ITS UTILIZATION OF THE ABOVE TEMPORARY HAS BEEN MADE AVAILABLE AS A RESULT OF THE TEMPORARY PERSONNEL SERVICE RENDERED BY PROFESSIONAL DENTAL STAFFING, INC. CLIENT CERTIFIES THAT THE ABOVE HOURS WORKED ARE CORRECT AND THAT ALL WORK WAS PERFORMED IN A SATISFACTORY MANNER.
Choose Practice Name
Separate multiple email addresses with a comma (i.e. smith@aol.com, smith@gmail.com)
SUBMIT TIMESHEET button will be enabled when Practice, Exemptions, and Hourly Rate are completed