OVERTIME AUTHORIZATION SLIP

FROM: DATE:
SUPERVISOR IN-CHARGE

TO:
STAFF NAME

You are hereby authorized to work overtime on the following date/s and during the time indicated:
TIME NUMBER OF
DATE FROM TO HOURS

TOTAL

REQUESTED BY: APPROVED BY:

Signature over Printed Name SUPERVISOR IN-CH

 LIP

during the time indicated:

REASON

ROVED BY:

SUPERVISOR IN-CHARGE