PLEASE FILL IN YOUR HOURS AND FAX THE SIGNED TIMESHEET TO 240-235-5066. OUR PAYROLL MANAGER WILL TOTAL YOUR HOURS. IT IS YOUR RESPONSIBILITY TO GET YOUR TIMESHEET TO US IN TIME. TIMESHEETS RECEIVED AFTER FRIDAY 6PM DEADLINE WILL NOT GENERATE PAYCHECKS UNTIL THE FOLLOWING PAY PERIOD ONE WEEK LATER. OR CLICK HERE FOR E-TIMESHEET.

Name:___________________________________________ LAST 4 DIGITS OF SS#:XXX-XX-_________

Company:_______________________________ DEPT:__________ Office Ph.#_________________

Company Address __________________________________ City __________ State___ Zip_______

I certify that the hours shown here represent the total hours worked by me this week and were properly verified by the client.

Employee (Sign): _______________________ Employee (Print): _______________________

EMPLOYEE CHECK ONE: Please __ HOLD my check for pickup at Hire Standard OR Please__MAIL my check to my home address with the understanding that: 1) Once the check has been mailed, Hire Standard Staffing bears no responsibility for its delivery (the check becomes the property of the USPS) AND 2) If I request a Stop Payment and check reissue due to non-delivery by USPS, I may incur bank charges for this Stop Payment service.

Authorized Client Signature: ________________________________ NAME (print) __________________________

CLIENT INFORMATION (TERMS AND CONDITIONS) Being duly authorized on behalf of the above client, (1) the signer hereby acknowledges that the personnel service (Hire Standard Staffing) incurs substantial recruitment, screening, administrative and other marketing expenses in connection with the temporary (or contract) employee named on this document. (2) Client certifies that the above hours are correct and that the work was performed in a satisfactory manner. (3) Client confirms prior agreement between The Service and Client with respect to the services performed hereunder and any future services; (a) Client shall not entrust The Service's employee with unattended premises, cash, negotiables,or other valuables or authorizes such employees to operate machinery or motor vehicles without prior written permission from the Service in each instance. (b) The Service's insurance does not cover loss or damage caused by The Service's employees' operating Client's owned or leased motor vehicle(s), and Client accepts full responsibility for claims, including the defense thereof, involving bodily injury, property damage, fire, theft, collision, cargo damage or public liability damage sustained or incurred as a result of employee driving such vehicle(s) or arising out of or involving violation by Client of paragraph (3)(a), above; (c) The Service is not responsible for claims made under its fidelity bond unless such claims are reported to it in writing within 30 days after occurance; (d) Client shall indemnify and hold The Service harmless from claims and demands arising out of the Occupational Safety and Health Act as it relates to premises owned or controlled by Client and to which The Service's employees are assigned. The Client recognizes The Service's employer relationship with its personnel and accepts the obligation to discuss all matters concerning their employment, job assignments, pay procedures, etc. with the service. The CLIENT AGREES TO PAY ALL INVOICES PER TERMS AND FINANCE CHARGES OF FIVE PERCENT (5%) PER MONTH ON CHARGES REMAINING FIVE (5) DAYS AFTER TERMS, ON A THIRTY (30) DAY BASIS AND REASONABLE ATTORNEY'S FEES AND EXPENSES OF COLLECTION, IF "THE SERVICE' ENGAGES AN ATTORNEY TO ENFORCE PAYMENT OF ANY CHARGES INCURRED