Form NIH1962-1 "Request for and Authorization (Or Approval) of Overtime Work"

Form NIH1962-1 or the "Request For And Authorization (or Approval) Of Overtime Work" is a form issued by the U.S. Department of Health and Human Services - National Institutes of Health.

Download a fillable PDF version of the Form NIH1962-1 down below or find it on the U.S. Department of Health and Human Services - National Institutes of Health Forms website.

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Download Form NIH1962-1 "Request for and Authorization (Or Approval) of Overtime Work"

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REQUEST FOR AND AUTHORIZATION (OR APPROVAL)
OF OVERTIME WORK
These employees will be required or were required to work overtime on the dates and for the number of
hours shown below. Any entry of CT after the number of hours indicates that the employee requested
compensatory time in lieu of payment for overtime.
NOTE: Overtime must be authorized prior to its performance except in cases of emergency according to
current regulations. Overtime actually worked under the authorization must be recorded on the Time and
Attendance Report (HHS 402) for the current pay period, and a cross reference made on that form
indicating overtime was approved.
PAYROLL TIME AND LEAVE
OVERTIME AUTHORIZED
CLERK
EMPLOYEE'S NAME AND ORGANIZATIONAL UNIT
EMPLOYEE'S NAME AND ORGANIZATIONAL UNIT
NO. OF
PAY PERIOD
DATE
INITIALS
HRS. EST.
NUMBER
Authority for approving payment for overtime or the allowance of compensatory time in lieu of
payment for overtime may be granted only by the officials delegated this authority in HHS Personnel
Manual, Chapter 250, and operating agency supplement thereto. The delegated official must sign
each request for overtime.
TITLE OF AUTHORIZING OFFICIAL
SIGNATURE OF AUTHORIZING OFFICIAL
DATE
NIH 1962-1 (03/13)
REQUEST FOR AND AUTHORIZATION (OR APPROVAL)
OF OVERTIME WORK
These employees will be required or were required to work overtime on the dates and for the number of
hours shown below. Any entry of CT after the number of hours indicates that the employee requested
compensatory time in lieu of payment for overtime.
NOTE: Overtime must be authorized prior to its performance except in cases of emergency according to
current regulations. Overtime actually worked under the authorization must be recorded on the Time and
Attendance Report (HHS 402) for the current pay period, and a cross reference made on that form
indicating overtime was approved.
PAYROLL TIME AND LEAVE
OVERTIME AUTHORIZED
CLERK
EMPLOYEE'S NAME AND ORGANIZATIONAL UNIT
EMPLOYEE'S NAME AND ORGANIZATIONAL UNIT
NO. OF
PAY PERIOD
DATE
INITIALS
HRS. EST.
NUMBER
Authority for approving payment for overtime or the allowance of compensatory time in lieu of
payment for overtime may be granted only by the officials delegated this authority in HHS Personnel
Manual, Chapter 250, and operating agency supplement thereto. The delegated official must sign
each request for overtime.
TITLE OF AUTHORIZING OFFICIAL
SIGNATURE OF AUTHORIZING OFFICIAL
DATE
NIH 1962-1 (03/13)
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