Overtime Permit

Date:

To:

Name:

Department:

has been approved and authorized to work overtime for a maximum of ( ) hours between the dates of __________ and __________, for the purpose of _______________.

The overtime rate shall be paid in accordance with company policy.

Other Comments/Conditions for Overtime Approval:

Approval Requested by Approved by: _________________________

_____________________ Date:

Signature

Contract law requirements

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