Overtime Request

Arcanum Police Department

Overtime Request
Overtime: More than 86 hours in a 14 day pay period

Extended Time: More than 80 hours less than 86 hours in a 14 day pay period
Officer's Name*
Unit Number*
Email*
example@example.com
Date*

MonthDayYear
Date
Shift Start Time*

Hour Minutes
Shift End Time*

Hour Minutes
Total Extended Time*
Total Time*
Total Overtime *
Type a question*

Extended TimeOvertime
Reason for Overtime Request*
Officer's Signature*

Clear
Should be Empty:

Arcanum Police Department