Compensatory Time Agreement LCHR-75

This form is used to start a Comp Time agreement, rescind a previous Comp Time Agreement, or request a payout. The information on this form will be effective in the pay period in which the form is received by the Human Resources Department.

Comp Time is the time off granted in lieu of overtime payment for non-exempt employees. For every hour worked over 40 physical hours, eligible non-exempt employees (Regular, Limited Term, and Temporary) would be granted one and one-half hours of comp time off. These hours are tracked in the employee's Compensatory Plan leave bank. Employees may accrue a Comp Time balance of up to 60 hours (maximum hours may vary by department). Any hours worked beyond the maximum allowed must be paid at the overtime rate.

The Decision Maker may rescind the Compensatory Time Agreement at any time.

Employee Name

Email Address

Employee ID

Job Title

Department/Office

Supervisor Name

Supervisor Email

Select the reason using the dropdown for submitting the Compensatory Time Agreement. Additional details regarding options are below.

Begin a Comp Time Agreement - I would like to be compensated for overtime hours with compensatory time off in lieu of overtime payment. If this request is approved, only overtime hours worked after the date of the approval are eligible to be earned as compensatory time off.

Pay out All or Part of Comp Time Balance and Continue Comp Time Agreement - I would like to retain my Comp Time Agreement and be paid out for all or part of the hours accrued in my Compensatory Plan leave bank. I will continue to earn Comp Time for all overtime hours worked.

Rescind Agreement and Pay Out All or Part of Comp Time Balance - I would like to rescind my Comp Time Agreement and be paid out for all or part of the hours accrued in my Compensatory Plan leave bank. I will be paid for all overtime hours worked from this point forward.

Decision Maker Submitting Rescind Agreement and Paying Out All or Part of Comp Time Balance - The Decision Maker is the initial submitter and is rescinding the Comp Time Agreement and paying out all or part of the hours accrued in the Compensatory Plan leave bank. The employee will be paid for all overtime hours worked from this point forward.

Select one

Supervisor Approval

	Approved
	Denied

Comments

Select the department/office to route approval to the Decision Maker.

Department/Office

Decision Maker Name

Decision Maker Email

Sheriff's Office Decision Maker

Sheriffs Office DM Value

Primary Payroll Rep Name

Primary Payroll Rep Email

HR Generalist Name

HR Generalist Email

Supervisor Signature

Date Supervisor Signed

Decision Maker Approval

	Approved
	Denied

Comments

Submit

	Pay out ALL hours in Compensatory Plan leave bank
	Pay out part of Compensatory Plan leave bank