| Employee | |
|---|---|
| Department | |
| Date | |
| Reason |
| Planned | Actual | |
|---|---|---|
| Start | ||
| End | ||
| Hours |
Overtime is paid at not less than 1.5 times the hourly basic wage. Total overtime may not exceed 50 hours in any four-week cycle.
Requested by (supervisor)
Name, signature and date
Approved by
Name, signature and date
Employee
Name, signature and date