Paid Time Off in Lieu of Overtime Request Form
Submit your request to receive paid time off instead of overtime pay. Please provide accurate details for HR review.
Full Name
*
First Name
Last Name
Work Email
*
example@example.com
Department
*
Please Select
Engineering
Sales
Marketing
Customer Support
Finance
HR
Other
Manager's Name
*
Date(s) Overtime Worked
*
Number of Overtime Hours Worked
*
Requested PTO Date(s)
*
Reason or Notes
Submit Request
Should be Empty: