Maria Z. Moore
Southampton Town Supervisor

Juan Becerra
Director of Human Resources

Department of Human Resources
116 Hampton Road Southampton, NY 11968, NY 11968 Phone (631) 287 - 5715 Fax (631) 287 - 5721

__________________________________________________________________________________________________  

Employee Remote Work Hourly Log

 
INSTRUCTIONS
  1. At the top of the form, fill in your Name, work Email, Department/Division, and Regular Schedule. Select your Department Head from the drop down menu.

  2. As you, complete tasks throughout the day, fill in the appropriate information for each task by choosing the Date the task was performed, the time the task was started (“In Hour/Minute”), the time the task was concluded (“Out Hour/Minute”), and by typing the number of Hours the task took to complete. Describe the nature of the task in the Description box.

  3. Once you have filled in all your tasks, click the “Calculate” button at the bottom of the form to show the total number of hours worked that day.

  4. Read the Employee Attestation of Remote Work Performed bullet points, and if all are true, check YES.

  5. Click “Submit”. A copy of the form will be sent via email to you and to your department head.

Keep in mind that this form MUST be filled out and submitted every day that you are working remotely from home. If you have any questions regarding this form or the Remote Work Policy, please contact Sandra Cirincione (ext. 1904) or Juan Becerra (ext. 1921) in Human Resources.