OVERTIME FORM

HR Department

NAME: ___________________________________________________ DATE FILED:

________________________

POSTION: _______________________________ DEPARTMENT: ____________ AREA:

_____________________

This is to apply for pre-approved overtime work to perform the following:

DESCRIPTION DATE TIME: TIME: Total OT Approved by
(What kind of work or activity to be From To Hours immediate superior
done) Approved

TOTAL OT HOURS RENDERED: _____________

Employee’s Signature: Approved by:

________________________________ ________________________________
Date: ________________ Immediate Superior/ Manager / Date