Overtime (OT) Authorization Form .us



Overtime (OT) Authorization Form

|Employee Name |Employee Id # (EIN) |Date of Request |

|      |      |      |

|Regular Work Location |OT Work Location (if different) |

|      |      |

|Employees must complete this form and obtain prior approval to work overtime, or to work extra hours if they are classified as part-time or job-share. |

|Exceptions can be made when a predefined “emergency” situation occurs. In those instances, the authorization form must be completed and submitted within |

|one workday of the overtime or extra hours worked. |

|Mandatory overtime also requires the employee to complete and submit this form within one workday of the overtime worked. |

|Reason for Overtime: Backlog of work Vacancy coverage Workshop/training |

|Special project:       |

|Other:       |

|Date of Overtime:       |Number of hours requested:       |

|Type of Overtime: Voluntary:       hours Mandatory:       hours |

| Approved | Denied – Reason:       |

| |      |

|Supervisor’s Authorization |Date |

|Form of compensation requested for the overtime or extra hours: |

|Cash (OT, AST, UST, HST, HP) Comp Time (CTA, CTS, CTH) |

| | |

| |      |

|Employee Signature |Date |

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