Overtime Waiver Form

Overtime Waiver Form
Employee Information
Name
First NameLast Name
Employee ID
Department
Position/Title
Contact Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Overtime Details
Reason for Overtime Waiver
Overtime Start Date
MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Overtime End Date
MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Number of Additional Hours Willing to Work per Week
Hour Minutes
Acknowledgment:
I, {name}, acknowledge that I am voluntarily waiving my right to refuse overtime work during the specified period mentioned above. I understand that this waiver is in accordance with company policies and is entirely voluntary on my part.
I declare that I am making this decision voluntarily and that I am fully aware of the implications of waiving my right to refuse overtime work.
Date
MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Signature
Clear
Should be Empty:

Employee Information