BP-A0369  BP-A0369  JUN 10

OVERTIME AUTHORIZATION

U.S. DEPARTMENT OF JUSTICE
FEDERAL BUREAU OF PRISONS

Institution Location: MCC New York

To: 5 August , 2019
(Name of Employee): <empty>

You are authorized to work overtime as follows:
Day of Week: Monday 
Date: 5 August , 2019

Starting: 1500
Approximate period: 90 minutes

Purpose: Project planning and administrative duties

Purpose: Project planning and administrative duties

Reasons work cannot be accomplished during regular tours of duty:

Shortage of administrative staff

Warden or Authorized Supervisor:<empty>

In accordance with above authorization I certify I worked the following overtime:
Day of Week: Monday
Date: 5 August , 2019
Starting: 1500
Approximate period: 90 minutes

and request: Overtime Pay: xxxxxxxxxx
Compensatory Time: <empty>
(Signature of Employee): <signature>

Time verified: (supervisor's initial)

(To be used where not authorized in advance by Warden)
Approved: <empty>
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 (older.

PDF

Prescribed by P3000

EFTA00036439

BP-E369 (Continued)

## *When employee signs he/she should indicate "P" for Overtime Pay or "C" for Com pensatory time

<table><tr><th>Name of Employee</th><th>Date</th><th>Time
IN</th><th>Time
OUT</th><th>P
C</th><th>Signature of Employee</th><th>Supervisor's</th></tr><tr><td></td><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td></td><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td></td><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td></td><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td></td><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td></td><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td></td><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td></td><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td></td><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td></td><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td></td><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td></td><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td></td><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td></td><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td></td><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td></td><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td></td><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td></td><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td></td><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td></td><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td></td><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td></td><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td></td><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td></td><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td></td><td></td><td></td><td></td><td></td><td></td><td></td></tr></table>

ENO FORM

PDF

Prescribed by P3000

EFTA00036440