Schedule Change Request Form Template

The schedule change request form is designed to facilitate the process of requesting changes to an employee’s work schedule.

This form ensures that all necessary information is captured, enabling managers and HR personnel to evaluate and approve or deny schedule change requests systematically.

Proper documentation helps maintain clear communication and effective workforce management.

Schedule Change Request Form

Date of Request: __________________
Employee Name: __________________
Employee ID: __________________
Department: __________________
Supervisor/Manager: __________________

Details of change request:

____________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Reason for the request:

____________________________________________________________________________________________________________________________________________________________________________________________________________________________________

• Request for a one-off change
• Request for permanent change
  

Impact on Work and Coverage

How will this change affect your work responsibilities?: __________________________________________________________________

Proposed solution for coverage during the requested hours/days: ___________________________________________________________

………………………………………………………

Employee’s signature

Schedule change request is:

• Approved
• Denied
  

………………………………………………………

Manager’s Signature: __________________ 

HR Representative’s Signature: __________________ 

Date:

_________________________________________________________________________________________________

Using the Schedule Change Request Form streamlines the process of requesting and managing changes to employee schedules.

It ensures all relevant information is documented, enabling managers and HR personnel to make informed decisions.

This helps in maintaining clear communication, effective workforce management, and accommodating employees’ needs while balancing organizational requirements.

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