Does the incumbent share supervision of employees with anyone else? 2. Check One: Notes: YES NO Does the incumbent have hire/fire authority? In no, do they make recommendations on hire/fire? 3. Check One: Notes: YES NO Does the incumbent supervise employees in all areas of their duties, or do they supervise employees as a “project lead”? 4. Check One: Notes: YES NO How important are supervision duties in comparison to other duties? 5. Select one: What percent of working time is spent supervising and executing leadership 6. duties and responsibilities? Select one: What percent of time is spent performing duties similar to those they 7. supervise? Select one: For Mixed Classes Only: What criteria does the agency relay upon when 8. making the FLSA designation decision at the position level? Response: Other Considerations: Final Determination: Does this position meet the Executive Exemption Duties test? Check One: Notes: YES NO
2. Does the incumbent share supervision of employees with anyone else? Check One: YES NO Notes: 3. Does the incumbent have hire/fire authority? In no, do they make recommendations on hire/fire? Check One: YES NO Notes: 4. Does the incumbent supervise employees in all areas of their duties, or do they supervise employees as a “project lead”? Check One: YES NO Notes: 5. How important are supervision duties in comparison to other duties? Select one: 6. What percent of working time is spent supervising and executing leadership duties and responsibilities? Select one: 7. What percent of time is spent performing duties similar to those they supervise? Select one: 8. For Mixed Classes Only: What criteria does the agency relay upon when making the FLSA designation decision at the position level? Response: Other Considerations: Final Determination: Does this position meet the Executive Exemption Duties test? Check One: YES NO Notes:
flsa_exec-test-form.docx