OVERTIME FORM

Company Name: _________________________________________________________________

Employee Name:_________________________________________________________________

Department: ________________________________________ Date Filed :__________________

TO BE FILLED OUT BY EMPLOYEE TO BE FILLED OUT BY HR

Date Work OT Time OT Time OUT Reason for Overtime Total Number of Hours
schedule IN

Total Number of Hours:

Prepared By: Approved by:

_____________________________ _________________________
EMPLOYEE SIGNATURE SIGNATURE OF PRINTED
NAME OF IMMEDIATE SUPERVISOR
Received by:

_____________________________
SIGNATURE OVER PRINTED NAME
OF HR REPRESENTATIVE