Overtime Request Form

ADMIN COPY:

Enter email address to receive copy for approval processing

Employee Name*:

Employee ID*:

Project Name*:

Project Code*:

Supervisor Name*:

Date Overtime Required*:

Regular Shift End Time*:

Requested Overtime End Time*:

Total Overtime Hours Requested*:

Type of Work to be Performed*:

Reason for Overtime Request*:

Required Equipment/Resources:

Other Workers Required (if any):

I understand this is a request and requires supervisor approvalI confirm I am physically fit to work extended hoursI understand overtime rates apply as per company policy