Get DA 5172-R 1984-2024

U.S. DOD Form dod-da-5172-r PAY PERIOD ENDING DATE REQUEST AUTHORIZATION AND REPORT OF OVERTIME DATE PREPARED For use of this form see AR 37-105 the proponent agency is USAFAC. 00 NATURE OF DUTIES AND JUSTIFICATION FOR OVERTIME Enter a short description of the work to be performed and the reason why it must be performed by overtime TYPED NAME AND TITLE REQUESTED BY Signature AUTHORIZED BY Signature REMARKS REVERSE OF DA FORM 5172-R MAY 84. Compensatory time cannot be granted for holiday work. DA FORM 5172-R MAY 84 EDITION OF APR 83 IS OBSOLETE. Compen satory Time GRADE/ STEP NUMBER COMPENSATION OF HOURS REQUESTED Holiday EMPLOYEE NAME METHOD OF CLOCK DUTY Overtime SOCIAL SECURITY NUMBER DATE WORK IS TO BE PERFORMED TOTAL USAPPC V2. THRU If applicable TO Approving Officer FROM Office or Division Branch Section Unit or Separate Activity INSTRUCTIONS A separate request for overtime shall be prepared in an original and two copies for each pay period in which overtime is to be worked* One copy will be retained until the approved/disapproved copy is returned* Enter the name of employees social security number grade and step date work is to be performed the clock hours of duty number of overtime hours to be worked by each employee. The requesting official shall sign the request and submit to the appropriate authorizing official* If the authorizing official concurs he/she shall sign the form and return a copy to the requesting office. The original will be forwarded to the Civilian Payroll Office. Authority is hereby requested for the performance of the overtime described below which is beyond the regularly established 8-hour day or 40-hour week. NOTE Employees occupying wage grade positions may not be granted compensatory time except for employees working alternate work schedules. THRU If applicable TO Approving Officer FROM Office or Division Branch Section Unit or Separate Activity INSTRUCTIONS A separate request for overtime shall be prepared in an original and two copies for each pay period in which overtime is to be worked* One copy will be retained until the approved/disapproved copy is returned* Enter the name of employees social security number grade and step date work is to be performed the clock hours of duty number of overtime hours to be worked by each employee. The requesting official shall sign the request and submit to the appropriate authorizing official* If the authorizing official concurs he/she shall sign the form and return a copy to the requesting office. The requesting official shall sign the request and submit to the appropriate authorizing official* If the authorizing official concurs he/she shall sign the form and return a copy to the requesting office. The original will be forwarded to the Civilian Payroll Office. Authority is hereby requested for the performance of the overtime described below which is beyond the regularly established 8-hour day or 40-hour week. The original will be forwarded to the Civilian Payroll Office. Authority is hereby requested for the performance of the overtime described below which is beyond the regularly established 8-hour day or 40-hour week. NOTE Employees occupying wage grade positions may not be granted compensatory time except for employees working alternate work schedules. .