Route/	EXTRA DUTY / FIELD TRIP		FT Meal Allow. (check one)	
Total	
Mgr/Office	
		AM Work	Mid-Day Work	PM Work					
Date	Trip No	Start	End	Start	End	Start	End	Description	Lunch	Dinner	Hours	Notes	
Mon													

Tues													

Wed													

Thurs													

Fri													

Sat													

Sun													

OFFICE USE ONLY		Wk 1	Overtime	Wk 2	Overtime	Total		
	Reg. Run							
	Field Trip							
	Extra Duty							
	Ride							
	Monitor							
	Meal Allow.							

B

y

T r  

e

C

e

S

c
o
l

Name:	Week Ending:

Total Hours

Supervisor's Approval