Ivy Tech Community College of Indiana
TIME OFF –– OVERTIME APPROVAL FORM
Sellersburg


Employee Date

Department

Employees are responsible for verifying that enough time has been accrued for vacation, special holiday, or faculty release requests.  Pay will not be generated for time, which has not yet been accrued. Please forward this form with corresponding time report form to Payroll.


Please check appropriate box:       VACATION             SPECIAL HOLIDAY
Start Date End Date
Start Date End Date
Start Date End Date
Total Days (To the 1/4 hour for hourly employees.

To the 1/4 day for administrative and instructional employees.)


Supervisor Signature                                                                                       Date

                                                   FACULTY RELEASE DAYS
Start Date End Date

 Dean of Academic Affairs Signature                                                              Date


                                                   OVERTIME
Date of Overtime Total Hours

Reason for Overtime:



  Supervisor Signature                                                                                     Date


  Chancellor Signature                                                                                     Date