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Shift Change Request
Shift Change Request
Michael
2019-06-04T10:13:05-05:00
Purpose
This form is to be used whenever an employee is requesting to change shifts with another employee.
Procedure
Please submit requests as far in advance as possible/practical in the situation.
Both employees must agree and sign the form before it can be submitted and approved by your supervisor.
Submittal of this form does not guarantee the schedule change is approved; it must be approved by your manager to be considered approved.
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).
Employee 1 Name
*
First
Last
Employee 1 Email
*
Employee 1 Current Shift Date:
*
MM slash DD slash YYYY
Employee 1 Current Shift Time Start:
*
:
Hours
Minutes
AM
PM
AM/PM
Employee 1 Current Shift Time End:
*
:
Hours
Minutes
AM
PM
AM/PM
Employee 1 Requested Shift Date:
*
MM slash DD slash YYYY
Employee 1 Requested Shift Time Start:
*
:
Hours
Minutes
AM
PM
AM/PM
Employee 1 Requested Shift Time End:
*
:
Hours
Minutes
AM
PM
AM/PM
Notes:
Manager's Name
*
Rebecca Goslin
Employee 1 Signature
*
Today's Date
*
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).
Employee 2 Name
*
First
Last
Employee 2 Email
*
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)
I approve the shift change.
*
Yes
No
Employee 2 Signature
*
Today's Date
*
MM slash DD slash YYYY
Phone
This field is for validation purposes and should be left unchanged.
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