COMPENSATORY TIME REQUEST FORM

COMPENSATORY TIME REQUEST FORM — TRAVEL AND OVERTIME
EMPLOYEE NAME	EMPLOYEE ID	DATE FORM COMPLETED	SELECT ONE
PRE-APPROVAL
IMMEDIATE SUPERVISOR	DEPARTMENT	POST-APPROVAL
TRAVEL
PROPOSED OVERTIME WORK SCHEDULE
OVERTIME START DATE	OVERTIME END DATE	FLSA STATUS
FLSA EXEMPT
PROPOSED # REG HOURS	PROPOSED # OT HOURS	PROPOSED TOTAL HOURS	FLSA NON-EXEMPT
0.00	0.00	0.00	If status unknown, contact HR
PURPOSE OF OVERTIME
PROPOSED TRAVEL SCHEDULE
TRAVEL START DATE	TRAVEL END DATE	RESIDENTIAL LOCATION
PROPOSED # REG HOURS	PROPOSED # OT HOURS	DESTINATION LOCATION
0.00	0.00
COMPENSATION	SELECT ONE
If overtime approved, select method of compensation.	Overtime pay at 1.5 times my hourly rate
EMPLOYEE SIGNATURE	DATE	Compensatory Time (Straight Time)
Compensatory Time for Travel (Straight Time)
APPROVAL / DENIAL Comment Below: Explanation of Modification -or- Basis for Denial	SELECT ONE
APPROVED
APPROVED with modification
DENIED
APPROVAL SIGNATURES
SUPERVISOR SIGNATURE	DATE OF APPROVAL	APPROVING OFFICIAL SIG. 2	DATE OF APPROVAL

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