Reminder: Please complete and submit this timesheet for moonlighting shifts for the H02B PICU, OSU NICU, Admitting Senior, and Back-up Moonlighter. For shifts in the ED and H08B PICU, please report your hours directly to the department.
Moonlighting TimesheetNOTICE: This timesheet must be submitted within 24 hours of completing your shift to ensure that the moonlighting pay will appear on your next paycheck. Resident First Name:
Resident Last Name:
Email Address
Employee Number (on Nationwde Children’s badge):
Date of Moonlighting shift:
Location of Moonlighting Shift:
Admitting Senior H02 PICU OSU NICU Back-up Moonlighter
Hours of Moonlighting shift:
Admit 11p – 5a Admit 5p –11p NICU AM M-F (7a-5:30p), 10.5 hrs NICU AM Sat, Sun (7a-7p), 12hrs NICU PM M-F (5:30pm-7am), 13.5hrs NICU PM Sat, Sun (7p-7a), 12 hrs Other Hours PICU AM M-F (6a-5p), 11 hrs PICU AM M-R (5p-6a), 13 hrs PICU PM Fri (5p-7a), 14hrs PICU PM Sat (7p-7a), 12hrs PICU PM Sun (7p-6a), 11hrs
If other hours selected
By clicking “Submit” below, you are electronically signing that you agree to the below statement.
I attest that I have already worked in this location as a moonlighting resident, during these hours. If this timesheet is not submitted within 24 hours of completing my moonlighting shift, I understand that moonlighting pay may be delayed until after my next paycheck.
Reminder: Please complete and submit this timesheet for moonlighting shifts for the H02B PICU, OSU NICU, Admitting Senior, and Back-up Moonlighter. For shifts in the ED and H08B PICU, please report your hours directly to the department.
Moonlighting TimesheetNOTICE: This timesheet must be submitted within 24 hours of completing your shift to ensure that the moonlighting pay will appear on your next paycheck. Resident First Name:
Resident Last Name:
Email Address
Employee Number (on Nationwde Children’s badge):
Date of Moonlighting shift:
Location of Moonlighting Shift:
Admitting Senior H02 PICU OSU NICU Back-up Moonlighter
Hours of Moonlighting shift:
Admit 11p – 5a Admit 5p –11p NICU AM M-F (7a-5:30p), 10.5 hrs NICU AM Sat, Sun (7a-7p), 12hrs NICU PM M-F (5:30pm-7am), 13.5hrs NICU PM Sat, Sun (7p-7a), 12 hrs Other Hours PICU AM M-F (6a-5p), 11 hrs PICU AM M-R (5p-6a), 13 hrs PICU PM Fri (5p-7a), 14hrs PICU PM Sat (7p-7a), 12hrs PICU PM Sun (7p-6a), 11hrs
If other hours selected
By clicking “Submit” below, you are electronically signing that you agree to the below statement.
I attest that I have already worked in this location as a moonlighting resident, during these hours. If this timesheet is not submitted within 24 hours of completing my moonlighting shift, I understand that moonlighting pay may be delayed until after my next paycheck.
Reminder: Please complete and submit this timesheet for moonlighting shifts for the H02B PICU, OSU NICU, Admitting Senior, and Back-up Moonlighter. For shifts in the ED and H08B PICU, please report your hours directly to the department.
Reminder: Please complete and submit this timesheet for moonlighting shifts for the H02B PICU, OSU NICU, Admitting Senior, and Back-up Moonlighter. For shifts in the ED and H08B PICU, please report your hours directly to the department.
Moonlighting TimesheetNOTICE: This timesheet must be submitted within 24 hours of completing your shift to ensure that the moonlighting pay will appear on your next paycheck. Resident First Name:
Resident Last Name:
Email Address
Employee Number (on Nationwde Children’s badge):
Date of Moonlighting shift:
Location of Moonlighting Shift:
Admitting Senior H02 PICU OSU NICU Back-up Moonlighter
Hours of Moonlighting shift:
Admit 11p – 5a Admit 5p –11p NICU AM M-F (7a-5:30p), 10.5 hrs NICU AM Sat, Sun (7a-7p), 12hrs NICU PM M-F (5:30pm-7am), 13.5hrs NICU PM Sat, Sun (7p-7a), 12 hrs Other Hours PICU AM M-F (6a-5p), 11 hrs PICU AM M-R (5p-6a), 13 hrs PICU PM Fri (5p-7a), 14hrs PICU PM Sat (7p-7a), 12hrs PICU PM Sun (7p-6a), 11hrs
If other hours selected
By clicking “Submit” below, you are electronically signing that you agree to the below statement.
I attest that I have already worked in this location as a moonlighting resident, during these hours. If this timesheet is not submitted within 24 hours of completing my moonlighting shift, I understand that moonlighting pay may be delayed until after my next paycheck.
Moonlighting Timesheet
Resident First Name:
Resident Last Name:
Email Address
Employee Number (on Nationwde Children’s badge):
Date of Moonlighting shift:
Location of Moonlighting Shift:
Admitting Senior H02 PICU OSU NICU Back-up Moonlighter
Hours of Moonlighting shift:
Admit 11p – 5a Admit 5p –11p NICU AM M-F (7a-5:30p), 10.5 hrs NICU AM Sat, Sun (7a-7p), 12hrs NICU PM M-F (5:30pm-7am), 13.5hrs NICU PM Sat, Sun (7p-7a), 12 hrs Other Hours PICU AM M-F (6a-5p), 11 hrs PICU AM M-R (5p-6a), 13 hrs PICU PM Fri (5p-7a), 14hrs PICU PM Sat (7p-7a), 12hrs PICU PM Sun (7p-6a), 11hrs
If other hours selected
By clicking “Submit” below, you are electronically signing that you agree to the below statement.
I attest that I have already worked in this location as a moonlighting resident, during these hours. If this timesheet is not submitted within 24 hours of completing my moonlighting shift, I understand that moonlighting pay may be delayed until after my next paycheck.
