MISSISSIPPI VALLEY STATE UNIVERSITY
COMPENSATORY TIME APPROVAL & ACCRUAL FORM
Employee Name: __________________________________ Date: ________________
Department/Unit: ________________________________________________________
Social Security Number: ___________-_________-___________
Compensatory time is required for work to be done on the following dates: (Please
indicate the project or nature of work to be performed in the spaces provided below.)
Example: To complete journal entries for fiscal year closeout. 6/18 & 19 6-10 p.m. (8 hours)
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
It is anticipated that ______ hours are needed to complete the work described above.
Actual Compensatory Time Earned on the Project: ________
Please note that managers should not allow an employee to accumulate more than 25 hours of
compensatory time at any given time. Compensatory time should be used as soon as possible after
it is earned to maintain accurate records and to minimize accumulation.
NOTE: Please be aware that compensatory time off granted in the week it is earned, is granted on
an hour for hour basis; however, compensatory time granted after the week it is earned, is granted
at a rate of one and one half times the actual compensatory time earned.
The section below is to be used when an employee is requesting to be off from work using
compensatory time earned.
Time Off Requested: From: ________________ To: _________________ (indicate dates)
Number of hours taken: ____________
Number of hours remaining: ____________
Employee Signature: ______________________________ Date: ________________
Approvals
Supervisor Signature: __________________________
Date: ________________
Area Vice-President Signature: ______________________ Date: ________________
________________________________________________________________________
FOR OFFICIAL USE ONLY – PLEASE DO NOT WRITE BELOW THIS LINE
_____________ + _____________ - ______________ = ______________
Beginning Balance
New Hour Earned
Hours Taken
Ending Balance
HR #103 – Revised 3/07