ABCDEFG
1
PUTNAM VALLEY SCHOOLS
2
OVERTIME
3
PRE-APPROVAL CLAIM FORM
4
MUST BE SIGNED BY SUERVISOR PRIOR TO WORK BEING DONE
5
I _________________authorize ____________________________________ to work OVERTIME, as per CSEA contract, not to exceed hours/days as listed below.
6
Work to be done:
# HOURS
7
8
9
10
11
SUPERVISOR SIGNATURE
DATE
12
POST-APPROVAL CLAIM FORM
13
DATEWORK DONETIME# HOURS
14
FROMTO
15
16
17
18
19
20
21
23
24
26
27
TOTAL CLAIM
28
29
30
31
32
33
34
35
36
code
37
38
39
code
40
41
42
43
DATEEMPLOYEE SIGNATURE
44
45
46
47
48
DATESUPERVISOR
49
50
51
52
53
DATESUPERINTENDENT
54
55
REV 10/2019
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102