Overtime Outside Regular Department Time Sheet
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Two Week Period Beginning (Sat)
Department/Activity to be Charged
Organization Number to be Charged
I certify that hours worked as reported above are true and accurate in accordance with University policies and procedures.
Employee's Signature Date
Signature of Responsible Official on Account Charged / Date
(If a Grant account is charged, the Project Director must certify that overtime is an allowable charge to the Grant account specified above)
Signature of Supervisor in Home Department Date
FOR PAYROLL USE ONLY:
Payroll Number ________________________
Entered by: ____________ Date:__________
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