Extra Hours Report

USTASC Extra Hours Report

This report should be completed if:

1. You work extra hours outside of your normal schedule (i.e. call in, filling in, special assignment, etc)
2. Overtime is earned working any assignment

Your Name*

First Name

Last Name

Your Email for a Copy of this Form*

Date/Time of Start of Extra Hours*

:

Date/Time of End of Extra Hours*

:

Total Extra Hours*

Why are these extra hours occurring?*

Due to another officer calling out/No Show Called in/Unknown Reason Held over on previous shift Overtime -Special Assignment Inventory (at site) Meeting (at site) USTASC Training Meeting (at USTASC)

Other:

Who authorized these extra hours?*

Client Request USTASC Shift Supervisor USTASC Headquarters

Other:

Client Name*

Notes