Letter waiving over-time pay

1234 Street Any town, Any State CURRENT DATE

                                                                                                                   

 
NAME of employer (or supervisor/manager)
TITLE of employer (if applicable)
NAME of company (if applicable)
ADDRESS of employer
TOWN, STATE of employer

Dear Sir: [or Madame – May use personal name or last name with Mr./Mrs./Ms.]

Thank you so much for your agreement to adapt my work schedule to allow for my requested religious days off.

In exchange for your accommodation of my varying work schedule, I will be available to work additional hours per week as agreed upon or requested in the future.  These extra hours shall be paid at my regular hourly wage rate.  I do hereby waive any claim for over-time compensation.

Again, thank you so much for your willingness to work with me so that I can retain my employment with [INSERT NAME OF BUSINESS]. 

Sincerely yours,

 

[SIGN NAME HERE]
[TYPE NAME HERE]