"Schedule Change Form"

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SCHEDULE CHANGE FORM
I need you to:
Work on your lunch break
Come in early
Stay late
On this date:
/
/
I authorize you to:
Work on your lunch break
Come in early
Stay late
On this date:
/
/
Reason:
Director’s Signature: _____________________________ Date:
/
/
This form must be on record to have a schedule change, to make up time, or to work overtime.
SCHEDULE CHANGE FORM
I need you to:
Work on your lunch break
Come in early
Stay late
On this date:
/
/
I authorize you to:
Work on your lunch break
Come in early
Stay late
On this date:
/
/
Reason:
Director’s Signature: _____________________________ Date:
/
/
This form must be on record to have a schedule change, to make up time, or to work overtime.