Employee OT Report

EMPLOYEE OVERTIME (OT) REPORT

Report Header

Company:    Department:

Report Date:    Week Ending:

Employee Name:    Employee ID:

Job Title:    Supervisor:

Compensation & Payroll

Payroll Account / Cost Center:    Expected Pay Date:

Overtime Details (List each OT occurrence)

Enter up to seven entries. Times in 24-hour or 12-hour format with AM/PM; indicate unpaid break duration where applicable.

Summary Calculation

Scope of Work / Tasks Performed

Certification, Authorization, and Notices

By signing below, the employee certifies that the hours reported in this form are true and accurate to the best of the employee's knowledge. Falsification of time records is grounds for disciplinary action up to and including termination and may result in recovery of paid wages and other remedies available to the employer.

Supervisor approval constitutes authorization for payroll to process overtime pay for the hours recorded. Approval confirms that overtime was necessary and complies with applicable company policies and any required prior authorizations.

All time records are the property of the company and must be retained in accordance with company records retention rules. Time entries and this report are confidential and intended for payroll, human resources, and management review.

If payroll processing is delayed through no fault of the employee, the employer will process payment on the next available payroll cycle. No separate late fee will be paid unless expressly authorized in writing by company payroll management.

Acknowledgement

I acknowledge that I have read the above certification and that the information provided is accurate.

I, as supervisor, confirm authorization and verify that overtime was necessary and in compliance with operational requirements.

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