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UTAH DEPARTMENT OF HUMAN RESOURCE MANAGEMENT UNCOMPENSATED OVERTIME CLAIM FORM (For Employees in Nonexempt Positions Only) (Revised October 28, 2014) This form is used by State of Utah employees who
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How to fill out uncompensated overtime claim form

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How to fill out an uncompensated overtime claim form:

01
Obtain the uncompensated overtime claim form from your employer or the appropriate department within your organization.
02
Provide your personal information, such as your full name, employee ID number, and contact details, as requested on the form.
03
Specify the dates and times of the overtime hours you worked but did not receive compensation for. Be as accurate and detailed as possible.
04
Indicate the reason why you believe you are entitled to compensation for these overtime hours. Provide any relevant documentation or evidence to support your claim, such as emails, work logs, or witness statements.
05
Calculate the total number of uncompensated overtime hours you are claiming. Multiply the number of hours worked by your regular hourly rate to determine the amount of compensation you are seeking.
06
Review the completed form to ensure all the necessary information has been provided and that it is legible.
07
Sign and date the claim form, certifying that the information provided is true and accurate to the best of your knowledge.

Who needs an uncompensated overtime claim form?

01
Employees who have worked overtime hours but did not receive the appropriate compensation or were not compensated at all.
02
Individuals who believe they are entitled to monetary compensation for the overtime hours they have worked beyond their regular working hours.
03
Workers who wish to formally request their employer to review their overtime records and rectify any discrepancies or unpaid overtime.
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Uncompensated overtime claim form is a document used by employees to report any hours worked beyond their regular work schedule for which they were not compensated.
Employees who have worked overtime hours for which they were not paid are required to file uncompensated overtime claim form.
To fill out uncompensated overtime claim form, employees need to include information about the dates and hours of overtime worked, tasks performed during that time, and any relevant supporting documentation.
The purpose of uncompensated overtime claim form is to help employees claim the wages they are owed for any overtime worked but not compensated for.
Employees must report the dates and hours of overtime worked, tasks performed during that time, and any supporting documentation such as emails, supervisor approvals, or time logs.
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