COMPENSATORY TIME REQUEST FORM
Louisiana Tech University
TO: _______________________ ______________ Approved __________ Date
Dean/Budget Unit Head
______________ Disapproved _________ Date
THRU: _______________________ ______________ Approved __________ Date
Supervisor
______________ Disapproved _________ Date
FROM:
DATE:
SUBJECT: Request for approval to earn/take compensatory time
I request permission to earn (E) / take (T) compensatory time as outlines below:
DATE ACTIVITY ESTIMATED
TIME
APPROXIMATE
NUMBER OF HOURS
REQUESTED
(E) (T)
If applicable, provide reason request was not made prior to earning compensatory leave:
AA:6/03
_
_
_____________________________________
_______________________________________
Chrome Web Store
It looks like you haven't installed the Fill Chrome Extension Add to Chrome