Union Swap Request Form
Requests for Union Swap MUST be submitted 7 DAYS before date of exchange.
Requestor:
*
First Name
Last Name
Rank:
*
Please Select
Firefighter
Lieutenant
Captain
Employee ID #:
*
Date form was filled out:
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date of exchange:
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Shift (please select only one option):
*
Day (0800-1800)
Night (1800-0800)
Full Shift (0800-0800)
Reason for Union Swap:
*
Example: L648 Meeting (May); PFFM Convention (Worcester, MA)
Substitute:
*
First Name
Last Name
Rank:
*
Please Select
Firefighter
Lieutenant
Captain
Employee ID #:
*
I hereby agree to abide by the current contract language:
*
YES
Print
Submit
Should be Empty: