Preview Overtime Compensatory Time Authorization Form

OVERTIME/COMPENSATORYTIMEAUTHORIZATIONFORM

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EmployeeName:__________________________________________________ ____ Personnel#:_______________________

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OrgUnitName/#:_______________________________________________PayPeriodStart/EndDate:___________________

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OVERTIMEAPPROVAL

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Date

Est.#

Hours

ToBe

Worked

Reasonfor

Overtime

Request

OVERTIME

PRE‐APPROVED

BY

DATE

Estimated

Hours

Approved

Actual

Time

In

Actual

Time

Out

Actual#

of

Hours

Worked

ACTUAL

OVERTIME

APPROVEDBY

DATE

Actual

Hours

Approved

1.

  

2.

  

3.

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4.

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5.

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6.

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7.

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8.

  

9.

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10.

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11.

  

12.

  

13.

  

14.

  

TotalEst.Hrs.

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TotalActualHrs.

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COMPENSATORY TIME APPROVAL

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Date

Est.#

Hours

ToBe

Worked

Reasonfor

CompensatoryTime

Request

COMPENSATORY

TIME

PRE‐APPROVED

BY

DATE

Estimated

Hours

Approved

Actual

Time

In

Actual

Time

Out

Actual#

of

Hours

Worked

ACTUAL

COMPENSATORY

TIME

APPROVEDBY

DATE

Actual

Hours

Approved

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1.

  

2.

  

3.

  

4.

  

5.

  

6.

  

7.

  

8.

  

9.

  

10.

  

11.

  

12.

  

13.

  

14.

  

TotalEst.Hrs. 

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TotalActualHrs.

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PerBoardPolicy,allOvertimeandCompensatorytime MUSTBEPRE‐APPROVED.Fillin theestimatednumberofhoursandthe reasonforovertime/comp

timebydayintheappropriateOvertime/CompensatoryTimesection.Eachdatetobeworkedshouldbeenteredseparately.Thesupervisormustsignbelow

and in the

Approved By column for each date.After working overtime or comp time, record the actual time in and out, and the actual number of hours

workedeachdaytothenearestquarterhour(.00,.25,.50,.75)attheSTRAIGHTTIMErate.ThesupervisormustsignintheApprovedBycolumn

foreachdate

actuallyworked.(NOTE:anOvertime/CompensatoryTimeAuthorizationformshouldbefilledoutforeachpayperiodwhenovertimeorcompensatorytime

mayberequired.AVacationLeaveRequestformshouldbecompletedwhencompensatorytimeisused.)

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_____________________________________________________________ ___________________________________________

EmployeeSignatureDate

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_______________________________________________________________________________________________________

SupervisorName(PleasePrint) SupervisorSignatureDate

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Form#4707Revised7.21.2011

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