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Overtime Request Form
Overtime Request Form
Todays Date
*
Date Format: MM slash DD slash YYYY
Employee Name (Person Working the Overtime)
*
First
Last
Date of Overtime
*
Date Format: MM slash DD slash YYYY
Total Number of Overtime Hours
*
Detailed Reason for Overtime
Battalion Chiefs Name
First
Last
Battalion Chiefs Email
*
Date Signed
Date Format: MM slash DD slash YYYY
Battalion Signature
*
