Alabama Agricultural and Mechanical University
Office of Human Resources
P. O. Box 305
Normal, AL 35762
Phone: 256.372.5835
Fax: 256.372.5881
Alabama A&M University
Office of Human Resources
Overtime Compensation for Non-Exempt Personnel
Rev. Aug 2012
Request for Straight Time Compensation for Non-Exempt Staff Personnel
Date:
A-Number:
Name:
Department:
Position Title:
Standard Work Period:
40 Hours 84 Hours
Start Date
End Date:
Mandatory Attachment:
Employee’s timesheet for time period
Date
Hourly
Wage Rate
Num. of
Overtime
Hours
Multiplier
Overtime
Wage Total
Fund
Org.
Account
Program
Amount $
Budget Manager
x 1
x 1
x 1
[3] Budget Manager
Signature/Date
x 1
x 1
[3] Budget Manager
Signature/Date
x 1
x 1
[3] Budget Manager
Signature/Date
x 1
x 1
x 1
[1] Employee Signature/Date
[2] Supervisor Signature/Date
x 1
x 1
x 1
[4] Human Resources Signature/Date
[5] Budget & Planning Signature/Date
TOTALS
[6] Chief Financial Officer Signature/Date
Employer and employee agree to the performance of work as described and scheduled for payment thereof, if approved, as indicated.
This Alabama A&M University form is not an employment agreement. Alabama A&M employees are at-will unless designated otherwise in writing. Alabama A&M University is constrained
from authorizing the information outlined in this form until all required signatures designated as [1] - [6] are affixed hereto.
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
0
$0.00