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Uncompensated Overtime Claim Form for Non-Exempt Employees

This form is used by State of Utah employees who desire to make a claim to be compensated
for overtime hours for which they were required or permitted to work, over the past three
years up to today’s date, but for which they were not compensated due to the work hours not
being recorded on their previously submitted time sheets or electronic records (ESS).

Uncompensated Overtime Claim Form 2014

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