Summary: UNIVERSITY OF WASHINGTON
LEAVE/OVERTIME REQUEST/REPORT
COLLEGE OF ENGINEERING
Approved By:
Date
Administration Signature:
Date
REPORT OF LEAVE TAKEN
*REQUEST FOR LEAVE WITHOUT PAY OR OVERTIME ALSO REQUIRES SIGNATURE BELOW.
Comments:
UoW1843 (Rev. 7/01)
Signature of Employee:
Signature of Supervisor
Overtime Worked (OT)
(Designate One: Comp Time Paid Time
REQUEST TO TAKE LEAVE OR WORK OVERTIME
From:
Month_______ Day_______ Year_______ Time_______
a.m.
p.m.

Source: Anderson, Richard - Department of Computer Science and Engineering, University of Washington at Seattle

Collections: Computer Technologies and Information Sciences