NYC 9/11 Public Portal Document
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DEPARTMENT OF ENVIRONMENTAL PROTECTION
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OVEATPffi AOTHORIZATIOW FORM
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Distribution S: Week Ending:
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NORAML WORK WEIK URS
CAirLOMX NAAtEi . Civil Ser\ncETiTu:: ScoALSeamm**:
total overtime • *. 5% aaauai talary.ie;' - >. has employee exceeded 5%. retirement eligibility : • r-.-
prrvtotts 12 moathi . hours ' •.' imO.T. 7 (yes / bo) — • month year
— hours
DaTe(s) LoeationCs) Reason(s) comp comp . pay comp .
str. prem. str. pre. hot
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Report Totah EM
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Auth^^zed &^^i^j^g^ature(s)
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Supervisor n Date *" • "
Q Approves Q Disaaproved Date
Bureau ChielZCommisjioner's DcVjncs
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