Time Off or Swap/Cover Shift Form Who is filling out this form?* First Last You are seeking to:*Request a Day OffSwap a Single Shift OnceGet Coverage for One Shift (no swap)Swap a Regular Shift Time (reoccuring)Date you are requesting off?* Date Format: MM slash DD slash YYYY Date of Shift needing to be covered/swapped:* Date Format: MM slash DD slash YYYY Shift Start Time* : HH MM AM PM Shift End Time* : HH MM AM PM Any additional comments to add:Reason for time off (generally, no need to go into extensive details)?*Any additional information you would like to provide (i.e. may impact future schedule, one time thing, etc.)NameThis field is for validation purposes and should be left unchanged.