You are on page 1of 1

lE

lo I
IN I9
l-
lo lf,
l- t6
l= lc
IE IO
lr la
la
lo)
lp lo
Cr) t:
t>
Io
EL== l5
lo
IE
lL!
l= j

lo=
166 I

HF
tE
== l!o
Y6
oE
io
!=
I

trL oo
<-
tq
l*
lP
lo
IC
-o lo
z e€
'io l,h
o oc
lo
uJ E B'= lo
lE
oo
a OE lo
o E=
z (L Pl :l Pl ?l nl nl ri nl xl nl sl xl nl nl si ; -@
o
I

OVERTII'E REQUEST
AND AUTHORIZATION priiill nurPs
P€OPLE THEi' fII&97

EN'PLOYEE-$ NAME: POSITION:


CLIENT: DEPARTMENT:
PERIOD COVERED: SCHEDULE:
AG'rUAL NUITBER OF HRS'MIN.
REQUESTED lIifORK TO BE
DATE REG REST NTGHT LEGAL SPECTAL
PERFORIUED IN OUT REI,IARKS
OT DAY OT DIFF. HOLIDAY HOLIDAY

VERIFIED BY:
EMPLOYEE'S SIGNATURE OVER PRINTED NAME SUPERVISOR'S SIGNATURE OVER
PRINTED NAME

You might also like