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UNDERTIME REQUEST FORM Name: _______________________________________ Position: ________________________ Date Filed: ___________________________________ Duty Hours: _____________________ Date of Undertime: _____________________________ Duration: _____________________________________ Total Number of Hours: ______________ Reason: _____________________________________________________________________ _____ _____________________________________________________________________ ______ _____________________________________________________________________ ______ _____________________________________________________________________ ______ _____________________________________________________________________ ______ Requested by: ________________________________ Approved by: __________________________ Employee Manager

Undertime Request Form

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UNDERTIME REQUEST FORMName: _______________________________________Position: ________________________Date Filed: ___________________________________ Duty Hours: _____________________Date of Undertime: _____________________________Duration: _____________________________________ Total Number of Hours: ______________Reason: ______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Requested by: ________________________________Approved by: __________________________Employee ManagerUNDERTIME REQUEST FORMName: _______________________________________Position: ________________________Date Filed: ___________________________________ Duty Hours: _____________________Date of Undertime: _____________________________Duration: _____________________________________ Total Number of Hours: ______________Reason: ______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Requested by: ________________________________Approved by: __________________________Employee Manager