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Extra Time and Compensation Request Form

This document is a request form for employees to claim extra time allowance for hours worked outside their regular schedule. It requires the employee's basic information, dates and reasons for the extra time, details on authorized vs actual hours, and approvals from the immediate head and department head. Employees must submit the completed form by the 3rd and 18th of each month to claim additional compensation for extra hours rendered.

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216 views3 pages

Extra Time and Compensation Request Form

This document is a request form for employees to claim extra time allowance for hours worked outside their regular schedule. It requires the employee's basic information, dates and reasons for the extra time, details on authorized vs actual hours, and approvals from the immediate head and department head. Employees must submit the completed form by the 3rd and 18th of each month to claim additional compensation for extra hours rendered.

Uploaded by

4rgfbfrgby
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLS, PDF, TXT or read online on Scribd

REQUEST FOR EXTRA TIME ALLOWANCE

Period Covered : _____________________

Surname Given Name MI Employee No.


Division Department Position Date Filed
Charge to Magazine/ Reg. Sked Authorized Authorized Actual HR
Date Reason No. of Hrs. ND Hrs.
Department (if applicable) From To From To Signatory From To Verification

Claimant Signature Immediate Head Department Head

For HR's use only:

*One form per cut-off period (per employee)


*Secure approval of department head prior to rendering extra hours (DH to affix signature on the 'authorized signatory' column)
*Employee to keep the RO form and submit to HR on the 3rd (XTA cut-off 16-31) and 18th (XTA cut-off 1-15) of the month
*Failure to submit on time will mean forfeiture in claiming additional compensation for rendered extra hours Received by Date Received Payout
ADDITIONAL COMPENSATION AUTHORIZATION/ CLAIM FORM
Period Covered : _____________________

Surname Given Name


Division Department
Types of Claim: 1 - Night Differential 2 - Overtime
Nature of Charge to Dept./ Reg. Sked
Date Reason Particulars
Claim Program Cost Center From

Claimant Signature Immediate Head

*one form per cut-off period (per employee)


*secure approval of department head prior to rendering OT (DH to affix signature on the 'authorized signatory' column)
*employee to keep the ACACF and submit to HR on the 3rd (OT cut-off 16-31) and 18th (OT cut-off 1-15)
*Failure to submit on time will mean forfeiture in claiming additional compensation for rendered OT
ATION AUTHORIZATION/ CLAIM FORM
red : _____________________

MI Employee No.
Position Date Filed
3 - Leave Credits 4 - Extra day-off
Reg. Sked Authorized OT Authorized Actual OT
No. of Hrs. ND Hrs.
To From To Signatory From To

Immediate Head Department Head

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