Employee Shift Change Form

Employee Shift Change Form
Employee Name:

First NameLast Name
Location
Position*
Shift Date & Time:*

MonthDayYear
Date
Hour MinutesAM/PM Option
Additional Shift Date if Applicable

MonthDayYear
Date
Hour MinutesAM/PM Option
Additional Shift Date if Applicable

MonthDayYear
Date
Hour MinutesAM/PM Option
Employee Taking Over The Shift:

First NameLast Name
Location
Position
Reason for Shift Change:
Employee covering this shift agrees that once this form is submitted, they are responsible and accountable for this new shift. Should their schedule change, finding coverage will now be their responsibility.
Shift Change Request Date:

MonthDayYear
Date
Manager Name:

First NameLast Name
Signature of Manager:

Clear
Signature of Employee Requesting Change:

Clear
Signature of Employee Accepting Change:

Clear
Should be Empty: