Shift Change Request Letter Due To Health Issues [FREE Sample]

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Below is a sample of a shift change request letter due to health issues. Any documents enclosed with the letter should be copies. 

Original documents should never be sent. The letter should be sent by certified mail, so you have a record of the date the letter was sent and received.

Shift Change Request Letter Due To Health Issues Sample

Employee’s Name
Street Address
City, State, Zip Code


Dear Employer’s Name,

My name is [Your Name]. I am currently a graphic designer on the second shift at the Columbus branch office. I am writing to request a change in my current shift. I currently work the first shift from 7am-3pm.

I would like to request a shift change to the second shift from 1pm-9pm. I have two children who currently attend elementary school.

Since my husband has been diagnosed with stage 4 cancer last week, I no longer have anyone to take them to school in the mornings. It would be of great assistance to me if I were able to do this.

Since it is mid-year we currently have no new projects on the table. This would make now an opportune time for a switch in shifts.

I have discussed my situation with the head of the department and have been instructed by them to follow through with this request.

You will find a copy of their recommendation included with this letter. I have been with the company for three years, and have an exemplary record as you will find in my included progress review.

This change will not affect my productivity in any way, and I will continue to be an asset to this company.

I am available to meet to discuss this request or you may contact me at your earliest convenience. You can reach me by phone at 555-555-5555 or email at

Thank you for taking the time to review my request.


Your Name

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