Overtime Request Form
Employees should not work more than 40 hours in any work week without prior Supervisor approval.
Employees will not be paid for overtime unless this form has been completed in advance.
Name
E-mail
Department
Comments
Please provide an explanation of the work that requires more than 40 hours/week to complete.
1. Date of Overtime Work
day 1
1. Overtime Hours
day 1
2. Date of Overtime Work
day 2
2. Overtime Hours
day 2
3. Date of Overtime Work
day 3
3. Overtime Hours
day 3
4. Date of Overtime Work
day 4
4. Overtime Hours
day 4
5. Date of Overtime Work
day 5
5. Overtime Hours
day 5