OVERTIME REQUEST FORM

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District policy requires all non-exempt employees to obtain approval before working overtime.

Overtime is defined as hours worked over 40 during the district work week (Saturday through Friday).

Employees will normally receive compensatory time at one and one-half (1.5) hours for each overtime hour worked. Employees may request overtime pay instead of compensatory time by selecting the appropriate option below.

Approval by the Campus/Department Supervisor and Assistant Superintendent/CFO is required before overtime is worked. Submission of this form does not constitute approval.

Email *

FIRST NAME *

LAST NAME *

CAMPUS / DEPARTMENT *

SUPERVISOR EMAIL *

REQUESTED OVERTIME DATE *

YYYY

ESTIMATED OVERTIME HOURS REQUESTED *

EXPLAIN WHY OVERTIME IS NECESSARY *

WHAT WORK WILL BE COMPLETED DURING THE OVERTIME? *

COMPENSATION ELECTION *

I AGREE TO RECEIVE COMPENSATORY TIME AT 1.5 HOURS FOR EACH OVERTIME HOUR WORKED

I REQUEST OVERTIME PAY AT 1.5 TIMES MY REGULAR HOURLY RATE

EMPLOYEE CERTIFICATION (You must click on each box.) *

I UNDERSTAND OVERTIME MUST BE APPROVED BEFORE IT IS WORKED

I UNDERSTAND SUBMISSION OF THIS FORM DOES NOT CONSTITUTE APPROVAL

I CERTIFY THE INFORMATION SUBMITTED IS ACCURATE

Required

EMPLOYEE ELECTRONIC SIGNITURE. PLEASE TYPE YOUR FULL LEGAL NAME AS YOUR ELECTRONIC SIGNATURE *

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