Overtime Authorization Form

Employee Information:

Name:
Employee ID:
Department:
Position:
Supervisor's Name:

Overtime Request Details:

Date of Request:
Date(s) of Overtime:
Start and End Time:
Reason for Overtime:
Project/Task Name:

Authorization Details:

This request for overtime has been reviewed and approved by the supervisor and/or manager. Overtime authorization is subject to the company's policies and guidelines regarding overtime work.

Supervisor's Authorization:

I, [Wade Clark], authorize the requested overtime for the employee named above.

Supervisor's Signature: ______________________ Date: January 21, 2051

HR Authorization (if applicable):

I, [Your Name], on behalf of the HR department, confirm that this overtime request complies with company policies and employment laws.

HR Manager’s Signature: ______________________ Date: January 21, 2051

Employee Acknowledgment:

I acknowledge that I have been authorized to work overtime as indicated above. I understand that this authorization does not alter the terms of my employment and is subject to company policies.

Employee's Signature: ______________________ Date: January 21, 2051

Overtime Compensation:

Overtime hours will be compensated according to the company's overtime pay policy, which may include premium pay rates for overtime work. The details of compensation will be reflected in the employee's next paycheck.

Please retain a copy of this form for your records. For any questions or concerns related to overtime, please contact the HR department at [Your Company Email] or [Your Company Number].

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