OVERTIME

PREAUTHORIZATION TO WORK __________________ HOURS MAXIMUM

SUPERVISOR'S PREAPPROVAL SIGNATURE

SS # or Empl #

BUDGET ACCT or PoC #

NAME

DATE (Mo/Yr)

POSITION

SCHOOL / SITE

Date

START TIME

Reason

END TIME

TOTAL HOURS WORKED __________________

x ________________

TOTAL COMP HOURS

SIGNED __________________________________________
REVIEWED ___________________
EMPLOYEE

ASST SUPERVISOR - INITIALS

APPROVED __________________________________________
APPROVED ____________________________________
SUPERVISOR'S POST-APPROVAL SIGNATURE

SUPERINTENDENT

MUST BE SIGNED

OVERTIME
PREAUTHORIZATION TO WORK __________________ HOURS MAXIMUM
SUPERVISOR'S PREAPPROVAL SIGNATURE

SS # or Empl #

BUDGET ACCT or PoC #

NAME

DATE (Mo/Yr)

POSITION

SCHOOL / SITE
# of Hours
Worked

Date

TOTAL HOURS WORKED __________________

Reason

x ________________

TOTAL COMP HOURS

SIGNED __________________________________________
REVIEWED ___________________
EMPLOYEE

ASST SUPERVISOR - INITIALS

APPROVED __________________________________________
APPROVED ____________________________________
SUPERVISOR'S POST-APPROVAL SIGNATURE

MUST BE SIGNED

SUPERINTENDENT