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Shift Change Form

This document is a shift change form used when an employee cannot work their scheduled shift. It requires the signature of the employee requesting the change, the employee agreeing to cover the shift, and approval from a manager. A copy must be filed in the on-call binder and schedule corrected once approved by a Resident Hall Director.

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joseph stickel
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2K views1 page

Shift Change Form

This document is a shift change form used when an employee cannot work their scheduled shift. It requires the signature of the employee requesting the change, the employee agreeing to cover the shift, and approval from a manager. A copy must be filed in the on-call binder and schedule corrected once approved by a Resident Hall Director.

Uploaded by

joseph stickel
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
  • Shift Change Form

Shift Change Form

I _________________________________ can not work on ________________/_______


Print Name Date & Day Time

And _____________________________ has agreed to work for me on this day and time.
Print Name

Signature of Person Requesting Change: _____________________ Date _____________

Signature of Person Agreeing to Cover: ______________________ Date _____________

RHD Approval ____________________________________ Date _____________

FOR RA SHIFT CHANGES, A COPY OF THIS SIGNED FORM MUST BE FILED IN THE SENIOR
STAFF ON-CALL BINDER AND THE PRINTED SCHEDULE IN THE BINDER SHOULD BE
CORRECTED. This should be completed by the RHD who has approved the change.

-------------------------------------------------------------------------------------------------------------------

Shift Change Form

I _________________________________ can not work on ________________/_______


Print Name Date & Day Time

And _____________________________ has agreed to work for me on this day and time.
Print Name

Signature of Person Requesting Change: _____________________ Date _____________

Signature of Person Agreeing to Cover: ______________________ Date _____________

RHD Approval ____________________________________ Date _____________

FOR RA SHIFT CHANGES, A COPY OF THIS SIGNED FORM MUST BE FILED IN THE SENIOR
STAFF ON-CALL BINDER AND THE PRINTED SCHEDULE IN THE BINDER SHOULD BE
CORRECTED. This should be completed by the RHD who has approved the change.

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