Da Form 5172 R PDF Details

Managing overtime within the military's civilian workforce is a task that comes with its unique set of protocols, one of which involves a critical document known as the DA Form 5172 R. This form, standing for Request, Authorization, and Report of Overtime, is an essential tool required by AR 37-105 strategy, with the United States Army Finance and Accounting Center (USAFAC) being the proponent agency responsible for its oversight. The form’s purpose is multifaceted, serving not only to request authorization for overtime work beyond the standard 8-hour day or 40-hour week but also to document and report such hours for payroll purposes. It requires detailed inputs such as employee name, social security number, grade, date, and hours of the overtime work, along with a justification for the necessity of overtime. The structured process stipulates the creation of an original and two copies for each pay period, ensuring that approvals are meticulously tracked and recorded. The provision for compensatory time instead of overtime pay comes with its specific conditions, highlighting the form’s attention to compliance with pertinent policies. Furthermore, this document's careful circulation between requesting officials, authorizing officials, and the Civilian Payroll Office underscores the thorough checks and balances ingrained within the system for managing overtime. This form exemplifies the systematic approach to workforce management, ensuring that overtime work is both necessary and aligned with policy, while also providing a clear and accountable record for auditing and financial purposes.

QuestionAnswer
Form NameDa Form 5172 R
Form Length3 pages
Fillable?No
Fillable fields0
Avg. time to fill out45 sec
Other namesda 5172, da 5172 form, da5172, 5172 r pdf

Form Preview Example

REQUEST, AUTHORIZATION, AND REPORT OF OVERTIME

For use of this form, see AR 37-105; the proponent agency is USAFAC.

PAY PERIOD ENDING DATE DATE PREPARED

THRU (If applicable)

TO (Approving Officer)

FROM (Office or Division, Branch, Section, Unit or Separate Activity)

INSTRUCTIONS

1.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.

2.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.

3.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.

SOCIAL SECURITY

NUMBER

EMPLOYEE NAME

GRADE/

STEP

DATE

WORK

IS TO

BE PER-

FORMED

CLOCK HOURS OF DUTY

NUMBER

OF

HOURS

RE-

QUESTED

METHOD OF

COMPENSATION

Overtime

Holiday

*Compen- satory Time

*NOTE: (Employees occupying wage grade positions may not be granted compensatory time, except for employees working alternate work schedules.) (Compensatory time cannot be granted for holiday work.)

TOTAL HOURS

DA FORM 5172-R, MAY 84

EDITION OF APR 83 IS OBSOLETE.

USAPPC V2.00

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)

DATE

TYPED NAME AND TITLE

AUTHORIZED BY (Signature)

DATE

REMARKS

REVERSE OF DA FORM 5172-R, MAY 84

USAPPC V2.00