04/2010
WSU LEAVE AND OVERTIME REQUEST FORM
Name: Position #:
myWSU ID #
LEAVE
I request leave from through
(date) (hour) (date) (hour)
totaling working day(s) and/or hour(s).
Charged as follows:
Vacation Leave Using Compensatory Time
Sick Leave Funeral Leave
Jury Leave Military Leave
Discretionary Day Leave Without Pay
Other (explain in remarks)
Remarks:
To the best of my knowledge, the facts stated above are accurate and comply with leave requirements.
Employee’s Signature: Date:
APPROVAL BY SUPERVISOR Approved Denied
Supervisor’s Signature: Date
EXTRA STRAIGHT TIME/OVERTIME/COMPENSATORY
I request to work extra time from through
(date) (hour) (date) (hour)
totaling hour(s).
Credit as follows:
Extra Straight Time (must be paid)
Overtime (time-and-one-half to be paid)
Compensatory Time (time-and-one-half to be carried)
Remarks:
Employee’s Signature: Date:
APPROVAL BY SUPERVISOR Approved Denied
Supervisor’s Signature: Date
