MEDITECH'S CORPORATE
CENTER
FRAMINGHAM, MA 01701
REQUEST FOR HVAC OVERTIME USAGE
Date: _____________________
Company: _____________________________________________________________________
Requested Date(s): _____________________________________________________________
From: _________________________________ To: __________________________________
It is my understanding that requesting overtime HVAC I will be billed at the rate of $10.00 per hour/per unit. Units must be operated at a minimum of two hours.
____________________________________________
Authorized Signature