Classified Staff Request To Accure And Plan To Use (Comp) Compensation Time Off Form printable pdf download

Classified Staff Request To Accure And Plan To Use (Comp) Compensation Time Off Form

Palisades Charter High School

Classified Staff Request to Accrue and Plan To Use (COMP) Compensation Time Off

Employee Name: __________________________________

Date of Request: _________________

Position: ________________________________ Supervisor Name: _____________________________

Reason for Request: ____________________________________________________________________

(A) DATES WORKED IN PROCESS OF EARNING COMP TIME

Section A shall be completed and approved before employee works the comp time

(

) Beginning Date__________________

) ______________________ Ending Date

From

(Through

Employee Work Year Guide:

Time and one half rates applies only when comp time has been worked in lieu of overtime.

12 months employee = 120 hours max 11 months employee = 110 hours max 10 months employee = 100 hours max

__________________________ X 1.5 hours = ___________________________

Comp Time Hours Worked

Comp Time Off (CTO) Hours Earned

Employee Signature: __________________________________ Date: ______________________________

Administrator Name: ________________________ Signature: ______________________ Date: _______________

(B) PLAN TO USE COMPENSATORY TIME OFF

Section B shall be completed and approved when employee plans to take his/her earned comp time hours

Begin Use of Comp Time Date: ____________________________________

End Use of Comp Time Date: ______________________________________

Comp Time Hours Used________________ Balance of Comp Time Hours Remaining_______________

Administrator Approval: ____________________________ Date Approved: ______________________

Date_____________________ comp time form copy forwarded to Eleanor Rozell and the Human Resources Office

Please retain a copy of the comp time form for your records. In lieu of overtime, employees shall be entitled to

compensatory time off (“CTO”) at the rate of one and one‐half times the normal rate of pay accrued. Accrued time

and requested time must be pre‐approved by the supervisor.

HR/NW: 3/2012

Classified Staff Request To Accure And Plan To Use (Comp) Compensation Time Off Form