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Non-Exempt Staff

Overtime Request

In order to process your Request for Time-Off, you will need to complete the following form.


  1. Date:

  2. Faculty/Supervisor Requesting Overtime:

  3. Staff Working Overtime:

  4. Staff E-mail Address:

  5. Supervisor E-mail Address:

  6. Overtime Justification:

    Increased Workload
    Staff Shortage
    Explanation/Projects to be completed:

  7. Date(s) Requested:

    Total Hours Requested:




Note: Any overtime to be worked must be approved by a supervisor in ADVANCE.



Document last modified Wednesday, April 5, 2006.
2002 University of Southern California