Overtime Request Form

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Clear
Overtime Request
Approval by the Supervisor and Chair/Department Head must be obtained to allow an
employee to work Overtime Hours. Approval must be obtained before any Overtime
Hours are worked and will be credited as *Compensatory Hours.
Employee Name: _______________________________________________________
Department: ___________________________________________________________
Dates and times employee will be required to work beyond normal work hours:
DATE(S): ___________________ HOURS: ___________________
Services to be performed: _________________________________________________
______________________________________________________________________
Funding Source: _________________________________________________________
___________________________
_______________________
Supervisor’s Approval
Date
___________________________
________________________
Chair/Department Head Approval
Date
*Compensatory Hours must be taken before the Fiscal Year End. USC Payroll Office
will notify the School of the last possible time card in which Compensatory Time taken
can be recorded, (usually the second week in June). Human Resources will notify all
departments when a definite date is known.
*********************************************************
In rare, extenuating circumstances, compensation may be given in the form of wages.
Approval must be obtained by the Associate Dean for Administration and Finance or his
designee before any Overtime Hours to be paid are worked.
( ) Approved to Pay Overtime
( ) Not Approved to Pay Overtime
______________________________
__________________
Associate Dean for Administration
Date
And Finance or designee
Clear
Overtime Request
Approval by the Supervisor and Chair/Department Head must be obtained to allow an
employee to work Overtime Hours. Approval must be obtained before any Overtime
Hours are worked and will be credited as *Compensatory Hours.
Employee Name: _______________________________________________________
Department: ___________________________________________________________
Dates and times employee will be required to work beyond normal work hours:
DATE(S): ___________________ HOURS: ___________________
Services to be performed: _________________________________________________
______________________________________________________________________
Funding Source: _________________________________________________________
___________________________
_______________________
Supervisor’s Approval
Date
___________________________
________________________
Chair/Department Head Approval
Date
*Compensatory Hours must be taken before the Fiscal Year End. USC Payroll Office
will notify the School of the last possible time card in which Compensatory Time taken
can be recorded, (usually the second week in June). Human Resources will notify all
departments when a definite date is known.
*********************************************************
In rare, extenuating circumstances, compensation may be given in the form of wages.
Approval must be obtained by the Associate Dean for Administration and Finance or his
designee before any Overtime Hours to be paid are worked.
( ) Approved to Pay Overtime
( ) Not Approved to Pay Overtime
______________________________
__________________
Associate Dean for Administration
Date
And Finance or designee

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