Overtime Approval Request Form

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OVERTIME APPROVAL REQUEST FORM
EMPLOYEE’S NAME ________________________
____________________________
(Last)
(First)
EMPLOYEE’S ID#_____________________
EMPLOYEES’S TITLE________________________________________
EMPLOYEE’S DEPARTMENT__________________________________
NUMBER OF OVERTIME HOURS REQUESTED ____________________
DATE(S) OVERTIME WILL BE WORKED_____________________________
ESTIMATED DOLLAR AMOUNT OVERTIME WILL COST__________________
PURPOSE/JUSTIFICATION FOR THE OVERTIME REQUESTED:
SUPERVISOR’S SIGNATURE_________________________________________ DATE______________
SENIOR LEVEL SUPERVISOR’S SIGNATURE_____________________________ DATE_______________
(If Applicable)
ASSOC. VICE CHANCELLOR, DEAN, ASSOC. AD (OR EQIVALENT LEVEL OR ABOVE)
_______________________________________________________________ DATE_______________
(SEND A COPY OF COMPLETED FORM TO HUMAN RESOURCES)
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