Date: [Month Day, Year]

Overtime Exemption Notice

Dear [Employee's Name],

This notice is to inform you of your exemption from overtime pay as defined by the Fair Labor Standards Act (FLSA) and state labor laws. As an employee of [Your Company Name], your job position, job duties, and salary structure meet the criteria for exemption from overtime pay.

Position and Job Duties

You hold the position of [Job Title] and your primary job duties include [Brief description of primary job duties]. These duties are considered exempt under the FLSA and state labor laws due to the nature of your role.

Salary Basis

Your compensation is based on an hourly wage of [Hourly Wage Amount], and you are paid on a [e.g., bi-weekly] basis. This hourly wage is consistent regardless of the number of hours worked in a workweek.

Exemption Category

You fall under the [Exemption Category, e.g., "Administrative Exemption"] as defined by the FLSA. This category applies to employees who perform administrative or managerial tasks and are compensated on a salary basis.

Overtime Exemption Status

Due to your exempt status, you are not eligible for overtime pay, regardless of the number of hours you work in a workweek. You will receive your regular hourly wage for all hours worked.

Please note that this exemption status is subject to periodic review to ensure ongoing compliance with applicable labor laws. Any changes in your job position, job duties, or compensation may affect your exemption status.

Acknowledgment of Overtime Exemption

By signing below, you acknowledge that you have received and understood this Overtime Exemption Notice. You are aware of your exempt status from overtime pay and the terms outlined herein.

Employee's Signature: [Signature]

Employee's Full Name (Printed): [Name]

Date: [Date]

Representative (Printed): [Your Name]

Representative's Title: [Job Title]

Date: [Date]

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