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SOUTHERN UTAH UNIVERSITY DEPARTMENT RECORD OF OVERTIME EARNED form

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SOUTHERN UTAH UNIVERSITY
DEPARTMENT RECORD OF OVERTIME EARNED, COMPENSATORY
TIME USED AND/OR PAYMENT FOR OVERTIME
Employee: Department
Job Title: Fiscal Year
Section 1 - OVERTIME ACCRUAL Section 2-COMPENSATORY TIME
USAGE
Section 3-OVERTIME
PAYMENT
(A)
SUPERVISOR
INITIALS
authorizing
overtime
(B)
DATE
OVERTIME
HOURS
WORKED
(C)
OVERTIME
WORKED
(ABOVE 40
HOURS/WEEK)
(D)
COMP
HOURS
EARNED
(C) x 1.5
(E)
EMPLOYEE
INITIALS
certifying
usage
(F)
DATE
COMP
HOURS
USED
(G)
NUMBER OF
COMP HOURS
USED AS
TIME OFF
(H)
DATE
TIMECARD
SUBMITTED
FOR
PAYMENT
(I)
NUMBER
OF
COMP
HOURS
PAID
TOTAL TOTAL TOTAL
NOTE: 1. This form must be retained in your files for five years.
2. This form is for your internal use to track overtime. Submit a copy of this form to Human Resources Office Monthly.
3. Time Recap Sheet must be submitted monthly to authorize overtime payments.
4. Supervisor's initials in column (A) certify permission to work overtime.
5. Employee's initials in column (E) certify use of accrued overtime as compensatory time.
6. Overtime payments must be approved in advance of payment by President/Provost/Vice President.
7. Policy 8.5.1 "Overtime (Non-Exempt Personnel)".
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SOUTHERN UTAH UNIVERSITY DEPARTMENT RECORD OF OVERTIME EARNED form

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Completed 20 December 2019

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