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VICTOR VALLEY COMMUNITY COLLEGE DISTRICT
REQUEST TO WORK OVERTIME/ADDITIONAL/COMP HOURS
Monthly Pay Periods 16
to 15
th
th
P
-A
R
RE
PPROVAL IS
EQUIRED
Name:
SSN last 4 digits XXX-XX-
Budget # to be charged:
- 00 -
-
-
-
91
Dept.
Overtime and compensatory time are computed on the basis of one & one-half (1 1/2) hours of paid compensation or time off for
each hour of overtime worked over 40 or 8 hours. Example: Two hours of overtime is equal to 3 hours of paid compensation or
time off.
“Non-overtime additional” hours relate to employees who work less than 8 hours daily–hours above the normal
assignment (example: greater than 4 hours per day, but less than 8 or greater than 20 weekly hours, but less than 40). These
“additional” hours are paid as straight time. Please refer to bargaining unit Agreement for details. Complete all areas below.
•
Number of hours expected: ______
Expected Completion Date: _________
15th
•
Reason for excess hours:
•
District reimbursement by another agency:
•
Check one
*Comp Time
or Paid Time ____ for compensation of overtime hours
E
:
D
:
MPLOYEE SIGNATURE
ATE
:
D
:
SUPERVISOR SIGNATURE
ATE
:
D
:
VICE PRESIDENT SIGNATURE
ATE
Use either Column A or B
B
A
Overtime hours
Non-overtime
Total Hours
worked over 8
additional hours
worked including
Worked
Dates
(or 10 in
(NOT for FT emp)
regular hours
summer)
Be sure to select
comp or paid time.
After approved hours
have been worked,
complete this section
and forward with
signatures to the
payroll office. If
worked hours cross
pay periods, keep a
copy of this form for
the approval path
and submit monthly.
Total Hours
_____
_____
*
If compensatory time was chosen, total hours x 1.5 =
# of hours available to use within one year of earned dates. Comp time
earned on established holidays is 2 ½ times hours worked.
Report used comp time on the regular monthly absence report form.
E
:
D
:
MPLOYEE SIGNATURE
ATE
:
D
:
SUPERVISOR SIGNATURE
ATE
$
Total monthly salary/173.33 = $
hourly rate
FOR PAYROLL USE ONLY
If paid overtime, hourly rate x 1.5 = $
x # hrs ______ = $
paid on ______ payroll
If paid non-OT additional hours, hourly rate = $
x # hrs ______ = $
paid on ______ payroll
OT request form 8/8/07
1
