1. Compensatory Leave Approval Form
      1. for Unclassified Administrators/Staff


Compensatory Leave Approval Form


for Unclassified Administrators/Staff

                                                              Department:_________________________________________________

Employee:____________________________________________        Dept. Code:__________________________________________________  

 

 

REQUEST TO EARN COMPENSATORY LEAVE

 

ACTUAL COMPENSATORY HOURS

Dates

Requested

Hours

Requested

 

Description of Work

Dates

Worked

Hours Worked

From To

 

Total

Hours

 

 

 

 
         
 

 

 

 
         

 

 

 
           

 

 

 
           

 

 

 
           

 

 

 
           

 

 

 
           

 

 

 
           

 

The above named employee has been approved to earn compensatory leave for the days and times listed.

 

 

Immediate Supervisor/________________________________ date__________

Dept. Head

Dean/Executive Dean/________________________________ date__________
Assistant Vice Chancellor/

Vice Chancellor/Chancellor (as appropriate)

 

 

 

I certify that I have worked the above listed hours.

Employee’s Signature_______________________________ date__________

I hereby certify that the above listed employee has earned

Compensatory leave in accordance with College Policy.

 

Immediate Supervisor/________________________________ date__________

Dept. Head

Dean/Executive Dean/________________________________ date__________
Assistant Vice Chancellor/

Vice Chancellor/Chancellor (as appropriate)  

Form 2400/004 (8/11)  

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