WILKES UNIVERSITY
Overtime Request and Authorization Form
Employee Name: WIN #: _______________________________
Job Title: Department:
REAS
ON FOR OVERTIME (check one)
Special project and/or additional work Staffing issues (covering vacation, absence, etc
.)
Work on holiday (except Public Safety) Emergency situation
Other (Specify): ____________________________________________________________________
DESCRIPTION OF OVERTIME:
Date
# of Hours
Work Performed
FOAP to be
charged
Employee Signature: Date:
APPROVALS
Supervisor: Date:
Next Level Mgr: Date:
** Form must be submitted with the time sheet that designates the overtime listed **
Received by Payroll: _____________________________________ Date: