Contract Packs / All Documents / Employee Overtime Authorization Form

Employee: First Last Job title of signator, authorized signature or signer. Contract Job Title Department: Department Supervisor: Supervisor Overtime Period: Start Date to End Date. All employees must obtain written permission from a supervisor in order for overtime pay to be credited. Employees must complete the following form and file it with the Human Resources Department prior to working any overtime.

Estimated Overtime Hours Reason Date.

Additional Notes

Action Taken Overtime Pay Approved: ? Vacation/Comp Time Approved: ? Made up time: ? No action taken: ? Other: ? Notes:

Employee Signature Date

Supervisor Signature Date

Phone Phone Number