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Com Should you have questions regarding the completion of your timesheet please contact CoWorx Staffing at 1800-754-7000 option 1 ext. Coworx. net/forms. asp id 04253 version 4 Upon completion of this timesheet please submit directly to CoWorx Staffing at Fax number 1-800-396-7680 EMAIL CHTS coworxstaffing. COWORX STAFFING SERVICES LLC For Retail Selling Specialists on assignment with Chanel Inc* Last Name First Name M. I. CoWorx ID Week End Date Saturday Address Telephone Number Apt State City Zip Code - Email Address Indicate the First Last Name of the appropriate Chanel Retail Manager please print By signing below as an employee of CoWorx I am declaring my time reported reflects true and accurate time worked and includes that I took and recorded all applicable breaks and/or meal periods pursuant to CoWorx s Break and Meal Period Policy as they pertain to the state in which I work. I am responsible to comply with the current version of the CoWorx Break and Meal Period Policy which can be located at https //coworx. net/forms. asp id 04253 Signature Date Rate Per Hour Total Hours less breaks Total Amount Due This timesheet is to be used for ONE Sunday through Saturday week only - The department/counter manager must sign before submitting to CoWorx. Please include your focus brand the name of your Retail Manager in the spaces provided* Hours Worked Day Retailer Door Name Door SAMPLE Macys Herald Square Focus Value one per day Start Time Break Stop Total Hours Dept. /Counter Mgr s Retail Sales Generated Woman s Men s Fragrance Fragrance D. Smith Color Skincare OTH Sun Mon Tue Wed Thu Fri Sat Total Retail Sales per Brand later than 2 00 pm EASTERN TIME on Tuesdays. You MUST have the department or counter manager sign the timesheet at the end of each shift. Missing information will cause delays in the processing of your timesheet. CoWorx cannot guarantee that your funds will be available on a regular schedule based on your submission date. After receipt review of your timesheet CoWorx will submit to Chanel for approval Blank copies of timesheets are available online at https //www. COWORX STAFFING SERVICES LLC For Retail Selling Specialists on assignment with Chanel Inc* Last Name First Name M. I. CoWorx ID Week End Date Saturday Address Telephone Number Apt State City Zip Code - Email Address Indicate the First Last Name of the appropriate Chanel Retail Manager please print By signing below as an employee of CoWorx I am declaring my time reported reflects true and accurate time worked and includes that I took and recorded all applicable breaks and/or meal periods pursuant to CoWorx s Break and Meal Period Policy as they pertain to the state in which I work. I. CoWorx ID Week End Date Saturday Address Telephone Number Apt State City Zip Code - Email Address Indicate the First Last Name of the appropriate Chanel Retail Manager please print By signing below as an employee of CoWorx I am declaring my time reported reflects true and accurate time worked and includes that I took and recorded all applicable breaks and/or meal periods pursuant to CoWorx s Break and Meal Period Policy as they pertain to the state in which I work. I am responsible to comply with the current version of the CoWorx Break and Meal Period Policy which can be located at https //coworx.

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