I

S
-l
'-
lo
l!
;
ii
L 1(o 6
El.os
=l

fl0fo
. l-^ o
x t_q/ G-
E
o
IE
l> o-1
cr) E !
O I.Q
lo-
=N
P;
i;@
cL= o
o
=
lE
lul
I
]i
,*
:o
X

Eb , -
o<
6L
I =.
FX
o<
E o ON

HF
.G
== x c
oE
[a Ile
Ee
I
o@
gr..
,t+
tH
EL !.Y

E3
!
l+
IP 3E
o E:
6 lo
l'6
6z

z o 5P l-r
PB

o u.
tu .3= U =d
*6
I.JJ E (L oo E
a uJ dE
EE lO tr
p
I
o F I 6
Z (L a -l -l -L ol.l.l rl o, P
-o
ol
"ol =l =l:l
o_
I

OVERTIME REQUEST
AND AUTHORIZATIOH pdi#uurr's P€OPLE Tg€T' FIGHT

EMPLOYEE'$ NAME: POSITION;

CLIENT: DEPARTMENT:
PERIOD COVERED: SCHEDULE:
AC'TUAL NUIHBER OF HRS'MIN.
REQUESTED WORK TO BE
DATE REG REST NIGHT LEGAL SPECIAL
PERFORilED IN OUT REMARKS
OT DAY OT DIFF. HOLIOAY HOTIDAY

VERIFIED BY:
EMPLOYEE'S SIGNA,TURE OVER PRINTED NAME SUPERVISOR'S SIGNATURE OVER
PRINTED NAME