Due to inclement weather, VHCC will be on a snow schedule Wed, Jan. 17, 2018.

Compensatory/Overtime Leave Earned Form

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These forms must be completed in either black or blue ink. No correction fluid may be used. If it is necessary to make a correction on the time card, please neatly draw a line through the erroneous entry and write the correct information above the error.  The employee's supervisor must initial all corrections.

Compensatory/Overtime Leave Earned forms are to be completed and signed only after the hours are worked.  The work hours may not be anticipated. 

The forms should be submitted to the payroll office (Room 106 or Room 108, ADM Building) with the VHCC TIME RECORD form covering the period in which the compensatory/overtime leave is earned.   It is the supervisor's responsibility to see that the forms are calculated accurately and have been completed properlyReminder:  all overtime hours must be submitted by supervisor to the VP of Administration in
for approval.  The overtime request form is available on the "Z:" drive.

Items to be completed are detailed below; instructions for each numbered area are listed below the image:
Compensatory/Overtime Leave Earned

  1. Number of hours (reported in tenths of a hour; see chart below) compensatory leave earned OR
  2. Number of days compensatory leave earned.
  3. Beginning time of compensatory leave earned.
  4. Ending time of compensatory leave earned.
  5. Date on which compensatory leave was earned.
  6. Reason for working - REQUIRED.  The reason for working should generally fall under one of the three reasons listed.  If it does not, please detail the reason in the "Other" section.
  7. Employee's Name  - please PRINT.
  8. Employee's Social Security Number - last 4 digits only.
  9. Employee's Signature.
  10. Date of Employee's Signature.  Current date only.
  11. Supervisor's Signature recommending compensatory/overtime leave for the employee.
  12. Date of Supervisor's Signature.  Current date only.
  13. For Human Resources use only.

Conversion of Minutes to Tenths of an Hour



1 - 6


7 - 12 


13 - 18


19 - 24


25 - 30


31 - 36


37 - 42


43 - 48


49 - 54


55 - 60