Request For Approval And Authorization Of Overtime
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1Request for Approval and Authorization of Overtime
Part 1: Request for Overtime Approvals
Pay Period Number
Accounting
Complete items 1-13 (except item 6) and forward to the A.O.
1.
2.
Timekeeper No.
3.
Code
if overtime was worked on an emergency basis without prior approval, leave item 5
(when overtime will be
worked)
blank and supply an explanation of the emergency. Complete items 16-18 to
officially approve actual overtime worked. When this approved form is returned to
you, forward it to your timekeeper.
4. EMPLOYEES
6. ACTUAL OVERTIME WORKED
5. REQUESTED OVERTIME
c.
b.
c.
b.
b.
a.
Pay
a.
a.
Check one
Plan Grade/
Estimated
No. of
Supervisor's
Dates
Names
Dates
Step
No. of Hours
Hours
Initials
Paid
Comp.
Justification. Clearly establish that the work to be done is vital and that it cannot be accomplished within regular working hours. Describe the work
7.
to be done.
Requesting Supervisor's Signature
8.
9.
Date Signed
10.
Title
11.
Organization Name
Overtime-Approving Official (signature and date)
Signature of Administrative Officer
12.
13.
Signature of Recommending Official
14.
15.
Date Signed
Part 2: Actual Overtime Approvals
The actual overtime requested for the employees listed above is hereby:
16.
Disapproved. Explain below. (Return form to requesting supervisor.)
Approved as requested.
Approved with exceptions specifically noted.
Final Approval: Signature and Title
17.
18.
Date Approved
NIH-1962-8 (10/12)
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