Staff shift swap request

Make a proposed shift exchange clear before anyone changes the rota.

Use it when two colleagues want to exchange scheduled shifts.

Download Word (.docx)

Edit the fields and wording, then type your answers or print.

Download PDF

Print and fill in by hand.

Free to use and adapt · 1 page · A4 · No signup

What’s in the form?

  • Request date, team and the two colleagues
  • Original shift dates, start / finish and work areas
  • Proposed coverage and both colleagues’ confirmation
  • Rota decision, conditions and update reference

Make it your own

Add the role or work-area labels your team uses in Word. Write the date beside both start and finish times, especially for overnight shifts. Both colleagues should confirm the proposed exchange, then follow your organisation’s rota approval process.

Staff shift swap request preview. A portrait two-colleague shift comparison with proposed arrangements, confirmation names and a rota decision section.
Full preview of the 1-page printable form.

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