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Overtime Request Form
If you have an employee that is in need of working overtime please have them fill out this Overtime Request Form. They are required to fill out this form before they actually work the overtime. Unless if it is an emergency. Then they have one week to fill out the required timesheet and Employee Overtime Request Form.

Free Sample Template
Format: Word PDF
# of Pages: 1
Printable: Yes


Overtime Request Form TemplateForm 1336
Format: Word PDF
Category: Employee, Schedule
Type: Request Form
Overtime Request Form



Name: ________________________________________________________________________________________

Department: _________________________________ Job Classification: __________________________________

Date: ___/___/_____

Hourly Rate: $_____________ Please provide the date and time that forty hours will have been completed:

Date: ___/___/_____ Time: ___:___

Please give an explanation of the work that needs to be completed with overtime.

_____________________________________________________________________________________________

_____________________________________________________________________________________________

_____________________________________________________________________________________________

Estimated number of overtime hours that are needed to complete: ______________________________________



Employee Signature: __________________________________________________________ Date: ___/___/_____


Supervisor Signature: __________________________________________________________ Date: ___/___/_____


Director Signature: ____________________________________________________________ Date: ___/___/_____


Note: No overtime will be paid unless this form has been completed prior to the overtime being worked. Also, this form must be signed and attached to a completed and signed timesheet. If it is an emergency this Overtime Request form must be completed within one week from when the overtime was worked.