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Overtime Agreement Form

Do I need to fill out this form?

If you are in a full-time position that is subject to the Federal Fair Labor Standards Act, you will need to fill out this form. If you are not sure about your position, ask your supervisor or HR representative if you are in a "subject" or "non-exempt" position. If your position is "subject" "or non-exempt" you will need to sign and date this form. If your position is "exempt" you may skip this form by clicking the forward arrow at the bottom of the screen.

What does this policy mean?

If your position falls into this category, there are federal laws that say that you must be paid or be given time off at the rate of "time and a half" for any hours worked over 40 in a week. DHHS has elected to give "comp time" rather than overtime pay whenever possible, so this form is your acknowledgement that you understand this policy and realize that you cannot "demand" overtime pay instead of comp time.

Example: Mike is a full time "subject" employee. One week, he works 45 hours at the request of his supervisor. He earns comp time at the rate of "time-and-a-half" for the 5 hours he worked over 40. So, at a later date (with the approval of his supervisor), he will be able to take time off ("comp time") of 7 hours 30 minutes.

Here are some additional important facts:

  • You should always get approval from your supervisor before working extra hours.
  • If you do earn comp time for overtime hours, you must use that comp time within 12 months from the date earned or be paid for the overtime.
  • If you are a temporary "subject" employee who works overtime, you will be paid at the "time and a half" rate rather than earning comp time.

* .PDF refers to Portable Document Format, which is a readable format for many types of web documents. If you do not have Adobe Acrobat Reader installed on your computer, you will not be able to see the form. Acrobat Reader is free and available at the Adobe website:

Acrobat Reader Get Adobe Acrobat Reader

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