State Form 42386 - Employee Compensatory Time Worksheet - State Personnel Department Of Indiana

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Name of employee (last, first, middle)
EMPLOYEE COMPENSATORY
TIME WORKSHEET
Agency
State Form 42386 (R / 6-00)
State Personnel Department
Division / Unit
Account
Approved by State Board of Accounts, 1988
INSTRUCTIONS:
(1) This form should be used by state employees not eligible for premium overtime compensation.
(2)
This form should be maintained by and is the responsibility of the employee.
When compensatory time is earned or used, it should be indicated on the employee’s attendance report.
(3)
Submit a copy of this form to your payroll clerk with the attendance report.
(4) A maximum of three weeks of compensatory time may be used in a calendar year.
(5) Compensatory time unused upon termination or transfer is forfeited.
(6) Generally, only overtime work segments of four hours or more may be earned.
(7)
All time earned should be rounded to the nearest one-half hour.
(8) Compensatory time off must be used in whole or half day segments.
(9) A computer spreadsheet which mirrors this format may be used in lieu of this form.
For detailed instructions, consult Budget Agency Financial management Circular 87-2.1.
DATE COMP.
APPROVAL
APPROVED
APPROVED
BALANCE
TIME EARNED
DESCRIPTION OF WORK PERFORMED
SUPVS.
TIME
TIME
ACCUM.
OR USED
INITIALS
EARNED
USED
HOURS
Balance forwarded from prior wooksheet:
Conversion of Regular 7.5 Hour Days to Total Hours

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