EFTA00143195¶
BP-A0369 JUN 10¶
OVERTIME AUTHORIZATION¶
U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS¶
MCC NEW YORK¶
(Institution Location)¶
$$T_{O} \text{ S. CHAMBERS PP 16}$$¶
| AUGUST 17 | 2019 |
(Name of Employee)¶
You are authorized to work overtime as follows:¶
| Day of Week: | SUNDAY | Date: | AUGUST 4 | 2019 |
Starting: 1:00 pm¶
Approximate period: 360 ___ 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¶
Rocco Lupo, BSA¶
92302145A1¶
Warden or Authorized Supervisor¶
In accordance with above authorization I certify I worked the following overtime:¶
Day of Week: SUNDAY¶
| Date: | AUGUST 4 | 2017 |
Starting: SEE ATTACHED¶
Approximate period: 360 minutes¶
and request: Overtime Pay ___¶
Compensatory Time ___¶
S. CHAMBERS¶
(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¶