FormsStaffUnion → Request for Use of ESR Overtime

Request for Use of ESR Overtime

About this Form

Form number: 280-21

Audience:  Principals

Last revised: July 2024

When possible and appropriate, principals are expected to adjust the work schedule of the Service Employees International Union (SEIU) Local 500 representative to the instructional leadership team on days when such meetings are held to allow for participation during the normal workday of the unit member.

This form is to be used to request prior approval for the use of ESR overtime during the school year in situations where the instructional leadership team meeting occurs outside the normal work hours of the SEIU unit member and the employee’s schedule cannot be adjusted.

A separate form must be submitted for approval for each date the use of overtime is necessary, at least two weeks prior to the meeting date.

INSTRUCTIONS: To request ESR overtime, the employee’s principal should complete this form and submit it for approval via email to or Pony to theDivision of School Resource and Financial Support, 15 W. Gude Drive, Suite 200.

Adobe PDF Request for Use of ESR Overtime75 KEnglish

Forms require Adobe Acrobat Reader 8 or higher. Get Acrobat