Zip Delivery Overtime Pay Request

Please complete the form below to request overtime pay.

CSR Overtime Pay Request

Name
First Last
Date Overtime Worked*
MM slash DD slash YYYY
Begin Over Time*

:
End Over Time*

:
Total Overtime Hours Worked*
Total Overtime Hours Worked for that day in 100 minute increments. Example 2 1/2 hours worked equals 2.50 Hours'
Reason for Overt Time*

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