Please enable JavaScript in your browser to complete this form.Employee Name DATE 1FromTo Hours for Pay Reason for overtime DATE 2FromToHours for pay Reason for overtime DATE 3FromToHours for payReason for overtime DATE 4FromToHours for payReason for overtime DATE 5ToFromHours for pay Reason for overtimeTotal For This Request Total HoursSubmit Date Reimbursement Reimbursement AmountReimbursement Date Reimbursement Reason/LocationEmailSubmit
