Fillable Request Leave Hours Compensation (Alabama A&M University)

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Request Leave Hours Compensation (Alabama A&M University)

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AlabamaA&MUniversityMonthlyRequestforOvertimeCompensation(LEAVEHOURS)forNon‐ExemptPersonnel–BannerSystem
OfficeofHumanResources   Rev.August2010
Monthly Request for Overtime Compensation (LEAVE HOURS) for
Non-Exempt Personnel
Department/Unit:
Employee Name: ________________________________________________ Title:
Last First
Employee’s A-Number: ___________________________________________
Supervisor Name: Pay Period:
Last First Month Year
Instructions: This must be completed and submitted for non-exempt personnel to receive overtime compensatory leave hours in lieu
of overtime pay. Document the date (month and year) and number of overtime hours (e.g., hours in excess of forty (40) per week) that
the employee worked on that date and multiply the total number of overtime hours worked per day by one and one half (x1.5).
Calculate the sub-total of compensatory leave hours earned per week to determine the monthly grand total of overtime compensatory
leave hours earned. The Personnel Action Form indicating the number of compensatory leave hours earned and Monthly Time
Record for Non-Exempt Personnel Form must be submitted to the Office of Human Resources with this form for non-exempt
employees to receive overtime compensation.
WEEK 1
Date
(Mo/Yr)
No. of
Overtime
Hours
x 1.5
Overtime
Comp. Leave
Hours Total
Sun.
x 1.5
Mon.
x 1.5
Tues.
x 1.5
Wed.
x 1.5
Thurs.
x 1.5
Fri.
x 1.5
Sat.
x 1.5
TOTAL HOURS: ____________
WEEK 2
Date
(Mo/Yr)
No. of
Overtime
Hours
x 1.5
Overtime
Comp. Leave
Hours Total
Sun.
x 1.5
Mon.
x 1.5
Tues.
x 1.5
Wed.
x 1.5
Thurs.
x 1.5
Fri.
x 1.5
Sat.
x 1.5
TOTAL HOURS: ____________
WEEK 3
Date
(Mo/Yr)
No. of
Overtime
Hours
x 1.5
Overtime
Comp. Leave
Hours Total
Sun.
x 1.5
Mon.
x 1.5
Tues.
x 1.5
Wed.
x 1.5
Thurs.
x 1.5
Fri.
x 1.5
Sat.
x 1.5
TOTAL HOURS:____________
WEEK 4
Date
(Mo/Yr)
No. of
Overtime
Hours
x 1.5
Overtime
Comp. Leave
Hours Total
Sun.
x 1.5
Mon.
x 1.5
Tues.
x 1.5
Wed.
x 1.5
Thurs.
x 1.5
Fri.
x 1.5
Sat.
x 1.5
TOTAL HOURS:____________
WEEK 5
Date
(Mo/Yr)
No. of
Overtime
Hours
x 1.5
Overtime
Comp. Leave
Hours Total
Sun.
x 1.5
Mon.
x 1.5
Tues.
x 1.5
Wed.
x 1.5
Thurs.
x 1.5
Fri.
x 1.5
Sat.
x 1.5
TOTAL HOURS:____________
MONTHLY TOTAL OF COMPENSATORY LEAVE HOURS
EARNED: ____________________
APPROVALS:
_______________________________________________
[1] Employee Date
_____________________________________________________
[2] Supervisor Date
_____________________________________________________
[3] Human Resources Date
_____________________________________________________
[4 ] Payroll* Date
*Approval of form and recordation of compensatory leave hours in
Banner System.
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Instructions: This form must be completed and submitted for non-exempt personnel to receive overtime compensatory leave hours in
lieu of overtime pay. Document the date (month and year) and number of overtime hours (e.g., hours in excess of forty (40) per week)
that the employee worked on that date and multiply the total number of overtime hours worked per day by one and one half (x1.5).
Calculate the sub-total of compensatory leave hours earned per week to determine the monthly grand total of overtime compensatory
leave hours earned. The Monthly Time Record for Non-Exempt Personnel Form must be submitted to the Office of Human Resources
with this form for non-exempt employees to receive overtime compensatory leave hours.
Rev. October 2010
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Request Leave Hours Compensation (Alabama A&M University)

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Completed 28 July 2020

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