Mark Smith

Overtime Request Form

This form is to be used to REQUEST overtime, and to authorise payment. Pass this form to the account so they can authenticate the time to be paid as overtime.

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Title Page

Person requesting the overtime
Date of overtime
Responsible person (Manager/Foreman/Supervisor)
First Aider on site

Employees authorised.

Employee Name
Area/Task
Start Time
Finish Time
Employee signs to agree to the over time request.
Did the employee arrive/complete the overtime

Mark Smith

Overtime Request Form

This form is to be used to REQUEST overtime, and to authorise payment. Pass this form to the account so they can authenticate the time to be paid as overtime.

Use this Template

Print as PDF

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.