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Falcon Paymasters Crew Time Sheet
Step
1
of
5
- Client Billing Information
20%
Client Billing Info
Bill to ("Client")
(Required)
ATTN:
Address
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Email
(Required)
Phone
Fax
PO Number:
Job Number:
Advertiser Information/ Project Description
Project Title
Job City and State
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Use:
(Required)
Commercials
Industrials
Signatory (If Union)
Falcon
Other
Other
Base OT on
8 Hour Rate
Day Rate divided by guaranteed hours
File Upload
If independent contractor/Inc. you must attach evidence of Workers Comp coverage and W-9 or you will be treated as an employee.
Max. file size: 100 MB.
Tax Status
Single
Married
Married, but withold at single rate
Number of withholding allowances claimed
Check If Exempt
Yes
Union/ Local
Check If Non-Union
Yes
Crew Person ("Payee")
Must Complete Section Below and Agree Terms on last page
Name
(Required)
First
Last
Phone
(Required)
Email
(Required)
Address
(Required)
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Is this a NEW address?
Yes, this is a new address
Time Sheet
Day Rate
Based on the # hours per day
Work Description (Grip, Etc.)
Hours Worked
Pay Rate (if scale enter S):
Date
MM slash DD slash YYYY
Overtime Rate
Time and Half
Double Time
Over Time Hours
Work Description (Grip, Etc.)
Hours Worked
Pay Rate (if scale enter S)
Date
MM slash DD slash YYYY
Overtime Rate
Time and Half
Double Time
Over Time Hours
Work Description (Grip, Etc.)
Hours Worked
Pay Rate (if scale enter S)
Date
MM slash DD slash YYYY
Overtime Rate
Time and Half
Double Time
Over Time Hours
Comments/ Reimbursements
Attach Receipts:
Note: IRS regulations specifically require a receipt for kit rental reimbursements
Drop files here or
Select files
Max. file size: 100 MB.
Terms and Conditions
(Required)
Payee accepts work contingent on the fulfillment of terms stated herein and swears under penalty of perjury that he/she is entitled to the tax allowances/status claimed and that he/she can legally accept work in the U.S. If the work is performed under union code, the Payee independently agrees to be bound by the applicable code regardless of the Payee’s standing with the union. Payees claiming independent contractor or similar status swear that they meet all legal qualifications thereof and hereby indemnify and hold harmless Falcon, its affiliates and all other parties to the work from and against all claims (including unemployment insurance), liabilities and costs arising from said payee’s fraudulent claim of tax status. The Client in forwarding or causing the forwarding of this report to Falcon, regardless of completeness of report, (1) Provides a guaranty to pay Falcon Paymasters the sums indicated herein, and such additional sums as required henceforth for Falcon service fees and timely compliance with civil authorities and union codes (if applicable to the work). (2) Accepts sole liability for consequences of failing to comply with civil regulations regarding job site safety, timely payment, OSHA requirements, substance abuse and similar laws/regulations. (3) Waives, except as proven by compliance hereto, all rights to presentment, protest, notice, demand or action on the part of payee, Falcon, Falcon affiliates or assignees, or to require arbitration or undertake suit or countersuit against Falcon, its assignees or affiliates with regard to any indebtedness or liability owed payee, Falcon, or other entities for use of the work. (4) Agrees that the Client’s liability under terms herein is independent of any collective bargaining agreements or civil guarantees or obligations that may be in effect at the time the work was performed and is binding upon the Client his/its successors and assignees thereof. Notice of dissolution, demise, merger or acquisition shall not relieve the Client, assignees or successors from any current or continuing obligations arising under this Agreement. Persons signing this report on behalf of Client, warrant that they have advised Client of all terms and conditions herein and are authorized by Client to bind Bill To/Client to the terms and conditions herein.
I accept the Terms and Conditions
Payee Signs Here
Date
MM slash DD slash YYYY
Client/Bill to Sign Here
Date
MM slash DD slash YYYY
Email
This field is for validation purposes and should be left unchanged.
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