Volunteer Time Sheet

Log Your Hours

Please use this form to report each service you provide through Interfaith Caregivers Ozaukee. Please call, email, fax, or mail this form to our office by the end of each month. Thank you!

* required

Volunteer Name:	*
Phone Number:	*
E-Mail:
Date Client Name Service Provided Hours Miles Choose one Transportation In-County Transportation Out-of-County Shopping with Client Shopping for Client Paperwork and Bills Light Housework Odd Jobs and Minor Repairs Lawn Mowing Snow Removal Other Yard Work Friendly Visit/Call Respite Care Choose one Transportation In-County Transportation Out-of-County Shopping with Client Shopping for Client Paperwork and Bills Light Housework Odd Jobs and Minor Repairs Lawn Mowing Snow Removal Other Yard Work Friendly Visit/Call Respite Care Choose one Transportation In-County Transportation Out-of-County Shopping with Client Shopping for Client Paperwork and Bills Light Housework Odd Jobs and Minor Repairs Lawn Mowing Snow Removal Other Yard Work Friendly Visit/Call Respite Care Choose one Transportation In-County Transportation Out-of-County Shopping with Client Shopping for Client Paperwork and Bills Light Housework Odd Jobs and Minor Repairs Lawn Mowing Snow Removal Other Yard Work Friendly Visit/Call Respite Care Choose one Transportation In-County Transportation Out-of-County Shopping with Client Shopping for Client Paperwork and Bills Light Housework Odd Jobs and Minor Repairs Lawn Mowing Snow Removal Other Yard Work Friendly Visit/Call Respite Care Choose one Transportation In-County Transportation Out-of-County Shopping with Client Shopping for Client Paperwork and Bills Light Housework Odd Jobs and Minor Repairs Lawn Mowing Snow Removal Other Yard Work Friendly Visit/Call Respite Care Choose one Transportation In-County Transportation Out-of-County Shopping with Client Shopping for Client Paperwork and Bills Light Housework Odd Jobs and Minor Repairs Lawn Mowing Snow Removal Other Yard Work Friendly Visit/Call Respite Care Choose one Transportation In-County Transportation Out-of-County Shopping with Client Shopping for Client Paperwork and Bills Light Housework Odd Jobs and Minor Repairs Lawn Mowing Snow Removal Other Yard Work Friendly Visit/Call Respite Care