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Shift Change Request

Shift Change RequestMichael2019-06-04T10:13:05-05:00

  • Purpose
    This form is to be used whenever an employee is requesting to change shifts with another employee.

    Procedure
    1. Please submit requests as far in advance as possible/practical in the situation.
    2. Both employees must agree and sign the form before it can be submitted and approved by your supervisor.
    3. Submittal of this form does not guarantee the schedule change is approved; it must be approved by your manager to be considered approved.
    4. Once agreed upon and approved by your supervisor, both parties are responsible in covering requested shift(s).
  • Employee 1 Information

    Employee 1 will complete both sections: Employee 1 Information (the person requesting to change) and Employee 2 Information (the person agreeing to change).
  • MM slash DD slash YYYY
  • :
  • :
  • MM slash DD slash YYYY
  • :
  • :
  • Clear Signature
  • MM slash DD slash YYYY
  • Employee 2 Information

    Employee 1 will complete both sections: Employee 1 Information (the person requesting to change) and Employee 2 Information (the person agreeing to change).
  • Click on "Send To Employee 2" (bottom of page) to send to Employee 2 to complete the next section.
  • Employee 2 Approval

    (To be completed by Employee 2)
  • Clear Signature
  • MM slash DD slash YYYY
  • This field is for validation purposes and should be left unchanged.
Send To Employee 2

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