University Employee Overtime Authorization Form



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Georgia State University Overtime Authorization Form Today’s Date (MM/DD/YY): Employee Requesting Overtime: (Print Name) Employee Title: Department: Purpose of Overtime Work: Hours requested to be worked in excess of 40 per week: Date and time of hours requested to be worked:  Request is authorized in full  Request is not authorized  Request is granted, subject to modification as follows: Supervisor Authorizing Overtime: (Print Name and Title) (Signature) See other side (Date) Instructions 1..

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