Department of Facilities Management
Employees Report of Overtime
Employee Name __________________________________
Time & Date of Overtime: ___________________________
Time Work Completed: _____________________________
Who requested Overtime: ____________________________
Location of Work: _________________________________
Description of Work: _______________________________
________________________________________________
________________________________________________
Bank Overtime: _______ Pay Overtime: _______
Employee's Signature: _______________________________
No. of overtime hours ___ Rate of Pay 1.5 ___ 2 ___ 2.5 ___
Approved by: _____________________________________