MCC New York overtime authorization form for a cook supervisor, August 2019

EFTA00143189¶

BP-A0369 JUN 10¶

OVERTIME AUTHORIZATION¶

U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS¶

MCC NEW YORK¶

(Institution Location)¶

To B. BONEY PP16¶

AUGUST 18	2019

[Name of Employee]¶

You are authorized to work overtime as follows:¶

Day of Week:

SEE ATTACHED

Date:

SEE ATTACHED

2019

Starting: VARIES¶

Approximate period: SEE ATTACHED minutes¶

Purpose: TO WORK VARIOUS SHIFTS¶

Reasons work cannot be accomplished during regular tours of duty:	NO OTHER STAFF AVAILABLE
ONE COOK SUPERVISOR ON AL AND ONE COOK SUPERVISOR ON SL

92302145A1¶

Rocco Lupo, FSA¶

Warden or Authorized Supervisor¶

In accordance with above authorization I certify I worked the following overtime:¶

Day of Week: ___ SEE ATTACHED¶

Date: SEE ATTACHED 2017¶

Starting: SEE ATTACHED¶

Approximate period: SEE ATTACHED minutes¶

and request: Overtime Pay ___¶

Compensatory Time ___¶

B. BONEY¶

(Signature of Employee)¶

Time verified ___ (supervisor’s initial)¶

(To be used where not authorized in advance by Warden)¶

Approved:¶

Warden¶

Instructions:¶

(1) Where several employees authorized, use reverse side and insert in space for “name of employee” the words ‘per names and periods on reverse side.’¶

(2) “Authorized Supervisor” in accordance with written delegation of authority at institutional level per regulations.¶

(3) To be prepared in Original only, processed in accordance with institutional regulations and filed in payroll folder.¶

PDF¶

Prescribed by P3000¶

EFTA00143190¶

BP-E369 (Continued)¶

*When employee signs he/she should indicate “P” for Overtime Pay or “C” for Com pensatory time¶

Name of Employee	Date	Time IN	Time OUT	P* C*	Signature of Employee	Supervisor's
				VA
				SE
B. BONEY	8/05/2019	1:00 pm	7:00 pm	P
B. BONEY	08/11/2019	1:00 pm	7:00 pm	P
B. BONEY	08/12/2019	1:00 pm	7:00 pm	P
B. BONEY	08/13/2019	5:00 am	11:00 am	P
B. BONEY	08/14/2019	5:00 am	1:00 pm	P

END FORM¶

PDF¶

Prescribed by P3000¶