Employee Portal

Overtime Authorization Form

Employee Name(Required)

First Last

Employee Email(Required)

Employee ID Number(Required)

Employee Regular Work Location(Required)

Is the Overtime Planned or Unplanned (select one)?(Required)

Date Overtime is Expected or Incurred(Required)

Expected/Incurred OT START Time(Required)

Expected/Incurred OT END Time(Required)

Lunch Time Start

Lunch Time End

Check this Box if NO Lunch was Taken

No Lunch Taken

Hours of Overtime Expected/Incurred(Required)

Location of Overtime(Required)

Reason for Overtime (Please Mark One)(Required)

Purpose/Why the Overtime is Needed/Required(Required)

Who is your Team Leader or Supervisor?(Required)

This person will approve or deny the OT Authorization Form

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