AUFAIR WORK OMBUDSMANEmployment Templates

Official form guide

Form Weekly time and wages record template: Weekly time and wages record template

The Weekly time and wages record template is a worksheet from the Fair Work Ombudsman. It is used to track hours worked, wages and deductions for each pay period.

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Form Overview

Fair Work Ombudsman Form Weekly time and wages record template - Weekly time and wages record template

The Weekly time and wages record template is a worksheet from the Fair Work Ombudsman. It is used to track hours worked, wages and deductions for each pay period.

It records employer and employee names, pay period dates, start and finish times, breaks, overtime, wage rates, loadings, penalties, allowances, super contributions, deductions and the employee’s signed declaration.

Risk Radar

Scan points
  • 1Missing unpaid break times can inflate total hours worked.
  • 2Unpaid break periods not deducted from total hours
  • 3Incorrect ordinary hour rate entered
  • 4Employee declaration left unsigned
  • 5Superannuation contribution details omitted

Plain English

Think of this as a simple timesheet that shows what you earned and what was taken out each week. Both employer and employee fill it in together.

Submission Date

  • Filing date: Complete the sheet for every weekly pay period, before the net pay is issued.
  • Preparation window: collect IDs, supporting records, and signatures in advance.
  • Final review: verify names, dates, and required fields before submission.

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Glossary Terms

Hover a term to preview the meaning.

What this form is for

  • When you need a written record of each employee’s weekly hours, overtime and leave.
  • To calculate gross pay, deductions and net pay for a single pay period.
  • When you want to capture loading rates, penalty rates and superannuation details in one place.
  • If you prefer a paper‑based record that matches Fair Work’s recommended format.
  • For small businesses that do not use payroll software with built‑in timesheets.

Form selector

Use this form or another form?

Annual pay slip

Shows yearly totals rather than weekly detail

✓ Verify you need weekly granularity before using the weekly template

Fair Work Pay Slip Template

Superannuation contribution record

Dedicated to super only, no hours or wages

✓ Use only for super reporting, not for wage calculations

Superannuation Standard Form (SuperStream)

Leave accrual statement

Focuses on leave balances, not weekly hours

✓ Choose if you only need to track leave accruals

Fair Work Leave Accrual Worksheet

Deadline or filing window

The record should be finished each week before the employee receives their pay.

Before you submit

  1. 1Enter employer name and employee name exactly as they appear on the contract.
  2. 2Record the correct pay period start and end dates and the pay date.
  3. 3Log each day’s start time, unpaid break, restart time and finish time, then total the hours (excluding unpaid breaks).
  4. 4Enter ordinary hours, overtime hours and any leave taken, with corresponding dates.
  5. 5Fill in loading percentages, penalty rates and any allowances or bonuses that apply.
  6. 6Calculate gross pay, deductions (tax, super, other) and net pay.
  7. 7Provide the super fund name/number and the date contributions were paid.
  8. 8Sign the employee declaration and date it.
  9. 9Keep a copy for your records before giving the worksheet to the employee.

How to file this form

  1. 1Print the two‑page template or open a printable PDF version.
  2. 2Complete all required fields on page 1 (employer, employee, dates, hours).
  3. 3Complete the calculation schedules on page 2 (rates, deductions, gross/net pay).
  4. 4Have the employee sign the declaration section.
  5. 5Make a duplicate copy for your records.
  6. 6Provide the original worksheet to the employee for their records.
  7. 7Store the document securely for at least seven years.

Known limitations

  1. 1The template is a best‑practice model, not a legal requirement.
  2. 2Asterisk‑marked items are optional and do not affect compliance if left blank.
  3. 3It does not replace a formal payslip that must meet Fair Work payslip standards.
  4. 4Penalty‑rate calculations must follow the applicable modern award; the form does not calculate them automatically.
  5. 5The worksheet does not capture multiple pay periods in one document.

Field map

Compact field-by-field guide

7 fields

Applicant

1 items

Applicant Name and Contact

Full name (and representative, if any), postal address, email, and phone number of the person or organisation lodging the application.

Requiredtext

Respondent

1 items

Respondent / Employer Details

The exact legal name and ABN of the employer or other party the application is made against.

Requiredtext

The Matter

2 items

Type of Application

Identify the kind of matter — for example, unfair dismissal, general protections, or an agreement application.

Requiredselect
Details of the Dispute

A clear description of what happened, relevant dates, and the outcome you are seeking.

Requiredtext

Dates

1 items

Key Dates

Relevant dates such as the date of dismissal or the date the issue arose — these determine whether you are within time.

Requireddate

Supporting

1 items

Attachments

Any documents that support your application, such as letters, contracts, or notices.

text

Declaration

1 items

Signature and Date

Sign and date the form. Applications may also require a fee or an application for a fee waiver.

Requiredsignature
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Current form status
FAIR_WORK_OMBUDSMAN

The Weekly time and wages record template is a best‑practice worksheet provided by the Fair Work Ombudsman and remains current as a non‑mandatory template.

What changed or needs a fresh check

  • Confirm asterisk‑marked fields are optional (not required under the Fair Work Regulations 2009).
  • Check that the ‘Ordinary hours’ option (weekly/fortnightly/other) matches your award or agreement.
  • Verify the loading and penalty rate sections are filled with the correct percentages or rates for the period.
  • Ensure the superannuation fund name/number field is completed if contributions are made.
  • Review the employee declaration wording for any updates.

Quick Facts

Employers and employees covered by the Fair Work Regulations need to keep this record.
It records employer and employee names, pay period dates, start and finish times, breaks, overtime, wage rates, loadings, penalties, allowances, super contributions, deductions and the employee’s signed declaration.
Complete the sheet for every weekly pay period, before the net pay is issued.
Not confirmed in official source. Typically the employer keeps the completed record and provides a copy to the employee; it may be shown to the Fair Work Ombudsman on request.
Accurate records help meet legal obligations and avoid fines or disputes with the Fair Work Ombudsman.
Enter the employer and employee details at the top. Fill the pay period start and end dates and the pay date. Record each day’s start time, unpaid breaks, restart time and finish time, then total the hours after breaks. Add ordinary and overtime hours, apply the correct rates, loadings and penalties, and list any allowances or deductions. Calculate gross pay, super, and net pay. The employee signs the declaration and dates it. Keep the sheet for future reference.

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Sources

  • SRCEmployer’s name field present on page 1verified.
  • SRCEmployee’s name field present on page 1verified.
  • SRCPay period dates and pay date fields presentverified.
  • SRCOrdinary hours field with weekly/fortnightly/other optionsverified.
  • SRCOvertime, leave, start/restart/finish times and unpaid break fieldsverified.
  • SRCEmployee declaration text and signature lineverified.
  • SRCAsterisk note about optional fieldsverified.
  • SRCLoading, penalty rate, allowance, superannuation sections on page 2verified.
  • SRCCalculation of gross pay, deductions, net payverified.
  • SRCSuper fund name/number and date paid fieldsverified.

Common confusion points

Whether the asterisk fields must be filled – they are optional.

How to convert break times into ‘hours minus unpaid breaks’ total.

When to use the ‘Other loading’ or ‘Penalty rate’ sections versus ordinary loading.

Whether overtime can be taken as time‑off in lieu – the declaration wording clarifies this.

How to record part‑time versus casual loading percentages correctly.

What qualifies as a ‘Monetary allowance/bonus’ versus ordinary wages.

The difference between the worksheet’s net pay and the official payslip amount.

How to handle superannuation elections that change during the year.

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Source transparency

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