Overtime Request Form 10678
Overtime Request Form 10678
No one may be paid for overtime unless this form has been completed in advance of the overtime work.
Overtime is paid only when forty hours have been worked within one normal work week.
$0.00
ANTICIPATED NUMBER
OF OVERTIME HOURS
0.00
Please provide an explanation of the work that requires more than 40 hours/week to complete.
APPROVAL
SUPERVISOR SIGNATURE DATE OF APPROVAL HR REP SIGNATURE DATE OF APPROVAL
INSTRUCTIONS
No overtime will be paid unless this form has been completed prior to overtime. In the event of an emergency, the form must be completed
within the week of the overtime worked.
It is the responsibility of the employee to submit a signed timesheet for specific overtime work. The employee must do this before payroll is
completed.
The form must be returned to the immediate supervisor.
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