Affidavit of Overtime: Meaning, Purpose, and Sample Form
An Affidavit of Overtime is a sworn legal document executed by an employee to formally declare that they have rendered overtime work beyond their regular working hours. This affidavit is commonly required when overtime pay claims, time records, or official certifications are unavailable or when a sworn statement is specifically requested by an employer, government agency, or court.
This document is often used for payroll adjustments, labor disputes, back pay claims, government compliance, or employment verification purposes. Since it is executed under oath, all statements made must be accurate and truthful.
When Is an Affidavit of Overtime Required?
An Affidavit of Overtime is commonly required for the following purposes:
- Claiming unpaid or disputed overtime compensation
- Payroll corrections or adjustments
- Labor or employment-related disputes
- Submission to government agencies or courts
- Employment verification or compliance requirements
Supporting documents such as timesheets, duty rosters, or supervisor confirmations may be attached if available.
What Should Be Included in an Affidavit of Overtime?
A properly prepared affidavit should include:
- Complete details of the affiant (employee)
- Employer or company name and address
- Position or job title of the affiant
- Specific dates and hours of overtime rendered
- Purpose of executing the affidavit
- Affiant’s signature and notarization
As this affidavit is a sworn declaration, false or misleading statements may result in legal consequences.
Sample Affidavit of Overtime (Editable Template)
Replace all bracketed information below with the correct details before printing and notarization.
REPUBLIC OF THE PHILIPPINES
[CITY / MUNICIPALITY]
[PROVINCE]
AFFIDAVIT OF OVERTIME
I, [FULL NAME OF AFFIANT], of legal age, [citizenship], [civil status], and residing at [complete address], after having been duly sworn in accordance with law, hereby depose and state:
1. That I am employed by [COMPANY NAME] located at [company address], holding the position of [job title].
2. That I rendered overtime work beyond my regular working hours on the following date/s: [state specific date/s].
3. That the overtime rendered covered the period from [time] to [time], totaling approximately [number of hours] hours.
4. That the said overtime work was rendered in connection with my official duties and responsibilities.
5. That I am executing this affidavit to attest to the truth of the foregoing and for the purpose of [payroll adjustment / overtime claim / legal requirement / other purpose].
IN WITNESS WHEREOF, I have hereunto affixed my signature this [day] day of [month, year] at [place of execution].
_________________________________
[FULL NAME OF AFFIANT]
Affiant
SUBSCRIBED AND SWORN to before me this [day] day of [month, year] at [place], the affiant presenting the following competent proof of identity:
ID Type and Number: [ID Number]
Date & Place of Issuance: [details]
_________________________________
NOTARY PUBLIC
Doc. No. _____;
Page No. _____;
Book No. _____;
Series of _____.
Disclaimer: This template is for general guidance only. Employers or agencies may require official time records or additional documentation.
Comments
Post a Comment