HTML Preview Overtime Authorization Request Form page number 1.


2/17 The Tulalip Tribes TDS21488
From To
From To
Hours Minutes
SUPERVISORY ACTION:
Employee receiving overtime will have overtime credited to:
OR
COMPENSATORY TIME OFF (CTO)
TIME AND ONE HALF PAY
AUTHORIZATION
OVERTIME AUTHORIZATION REQUEST FORM
Supervisor Signature
Date
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EMPLOYEE REQUEST (Employee complete, print or type please)
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Permission is requested for the following named employee to work overtime for reason(s) indicated on the
date
specified
Employee Name:
Department or Division:
Date Worked Overtime:
Overtime Hours Worked:
Total Hours Worked:
PURPOSE FOR OVERTIME (EXPLAIN)
Overtime Hours Worked:
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Employee Signature
Date
Such compensatory shall be given for involuntary or permitted work beyond the forty (40) hour per work
week. Compensatory shall be granted at time and one-half (1.5) for each hour of actual overtime worked.
Should there be any type of leave used or time off i.e. (holidays, annual leave, sick leave, etc.) the employee
will earn compensatory time hour for hour.
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