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Hospice Volunteer Time Sheet
Redmond—Sisters Hospice

541-548-7483/Fax: 541-548-1507
(Please Use Family Support Timesheet for Patient Contact)

Volunteer Month Year

Email (required to submit form):

 

 

Turn in by the 1 st of each month.

Please track your mileage and indicate if you want to be reimbursed.

Please sign at the bottom.

Please report time as follows:

0 – 15 min. = .25 hours
15 – 30 min. = .50 hours
30 – 45 min. = .75 hrs.
45 – 60 min. = 1.00 hr.

Date

Mileage

Notes/ Comments

Admin./ Office

Bereavement

 

Education/ Conference

Fundraising

Other

 

Total Mileage No Charge Please Reimburse

Volunteer Signature Date
type your name to electronically sign this form

 

 




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