Overtime Request Form
To be completed by the Team Lead for all team members which overtime applies to within 48hrs.
Name
*
Email
*
example@example.com
Date of overtime worked
*
-
Day
-
Month
Year
Date
Amount of overtime worked in minutes (eg. 1.5hours = 90mins)
*
If overtime relates to an emergency call-out completed out of office hours please list overtime as 4hrs (240mins) for payroll processing.
Who did you speak to at Dispatch to discuss the overtime required?
*
Natasha
Georgia
Chantel
Josh
Reason for overtime
*
Run into trouble
Missing parts
Additional work requested
Not enough time allowed
Weather delays
Redoing work due to a mistake
Requested by Dispatch
Other
Additional team members which overtime applies to also:
*Please tick box and enter overtime amount*
Brendan
Yes
Brendan — overtime in minutes
Hayden
Yes
Hayden — overtime in minutes
Josh (Noden)
Yes
Josh (Noden) — overtime in minutes
Josh (Ruhle)
Yes
Josh (Ruhle) — overtime in minutes
Jack
Yes
Jack — overtime in minutes
Brodie
Yes
Brodie — overtime in minutes
Kobe
Yes
Kobe — overtime in minutes
John
Yes
John — overtime in minutes
Declaration: By submitting this form, I confirm that the additional hours requested and that all information provided in this request is true and correct.
*
I agree
Submit
Should be Empty: