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IC Compensatory Time Request Form 10678

This form is used to request compensatory time for travel or overtime work. It collects information about the employee, the proposed overtime or travel schedule including dates and hours, the purpose and location. The employee and supervisor must sign off to approve the request and select the compensation method, either overtime pay or compensatory time. A denial requires an explanation.

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JG Interiors & Design Studio
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106 views2 pages

IC Compensatory Time Request Form 10678

This form is used to request compensatory time for travel or overtime work. It collects information about the employee, the proposed overtime or travel schedule including dates and hours, the purpose and location. The employee and supervisor must sign off to approve the request and select the compensation method, either overtime pay or compensatory time. A denial requires an explanation.

Uploaded by

JG Interiors & Design Studio
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLSX, PDF, TXT or read online on Scribd
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COMPENSATORY TIME REQUEST FORM

COMPENSATORY TIME REQUEST FORM — TRAVEL AND OVERTIME


EMPLOYEE NAME EMPLOYEE ID DATE FORM COMPLETED SELECT ONE

PRE-APPROVAL

POST-APPROVAL
IMMEDIATE SUPERVISOR DEPARTMENT

TRAVEL

PROPOSED OVERTIME WORK SCHEDULE

OVERTIME START DATE OVERTIME END DATE FLSA STATUS

FLSA EXEMPT

FLSA NON-EXEMPT
PROPOSED # REGULAR HOURS PROPOSED # OVERTIME HOURS PROPOSED TOTAL HOURS

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 # REGULAR HOURS PROPOSED # OVERTIME 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

Compensatory Time (Straight Time)


EMPLOYEE SIGNATURE DATE OF SIGNATURE

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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