TIME AND MILEAGE SHEET

Mileage Tracker / Sheet

My signature above confirms that all times and miles logged on this sheet are correct.

To ensure that you get paid on time, all timesheets must be submitted to the office by Monday at 2 pm. You can fax it to 866-556-4437 or email it to S.fielder@ccalohio.com.

I certify that I have worked the hours listed on this sheet and taken breaks by applicable law. While on these assignments, I have not had any work-related injuries that I have not reported to Clear Choice Assisted Living.