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Employee Overtime Request

This form should be used if you are a Director requesting overtime for an employee.
Please submit overtime requests at least 2 weeks in advance.

About You & Your Employee

Your Full Name

Employee's Full Name

Employee's Department

Employee's Position Title


About Your Request

What other options did you explore instead of overtime?

What day will the employee be working overtime?

This will be the day that causes the employee to exceed their regular weekly hours.

How many hours will the employee be working overtime?

Reason for Overtime Request

What process are you putting in place to reduce the need for overtime in the future?