Authorization to Work Overtime on Grant-funded Project
Award Information
PI Name:
Department: ________________________ Dept Budget Code:________________________
Award Title:
_____________________________________________
Sponsoring Agency:
PeopleSoft Grant Number:
Project Begin Date: ___ Project End Date:
_________
Employee Information
Employee Name__________________________ Empl ID:_____________________________
Standard Pay Rate:_________________________ Anticipated Overtime Pay Rate:___________
Maximum Salary Requested for Overtime:______________
Signature
By signing this form as the Principal Investigator, I understand that the authorized overtime amount is not to
exceed the amount indicated on this form. Any excess amount will be charged to the department
Principal Investigator Date
Employee Date
Department Chair Date Dean of College Date
OSPR Grant Administrator Date Assistant Vice President for Research Date
Rev. 10/03/2017
Clear