DEPARTMENT OF HOMELAND SECURITY
Transportation Security Administration
SHIFT TRADE REQUEST
INSTRUCTIONS: This form must be completed by Bargaining Unit Employees (BUEs) wanting to temporarily trade shifts. Shift
trades may be between no more than three (3) employees – one (1) requestor and two (2) traders and must cover at least two (2)
hours. All applicable employee’s work hours are capped at no more than thirteen (13) hours in a 24-hour period for any shift trade;
this excludes meal periods and must allow at least eight (8) hours of rest between shifts. Applicants must complete all required
fields, including signatures and dates.
NOTE: This request form must be printed as a 2-sided document and must show all signatures and dates. Use one form per
trade. The requestor must ensure the completed request is delivered to the Scheduling Officer for final approval. Each employee
is to receive a signed copy of the shift trade request and the original is to be filed with the requesting employee’s official time/leave
record for the pay period the trade is worked; copies are filed in the leave record of the other applicable employees. The
Scheduling Officer must ensure the final approved original and copies are appropriately filed.
SECTION I. Requestor
SSN (last 4):
5555
Name
Jim Smith
Airport Code
PHX
Current RDO(s)
SUN MON
Certification
(select one)
Status
Part Time
Full Time
Baggage
Position
TSO
Shift Hours (hh/mm)
Begin: 0400
a.m.
p.m.
Phone No.
480-555-5555
End: 1230
Checkpoint
a.m.
p.m.
Dual Function
Duty Location
Terminal/Concourse
T4
Checkpoint
A
Baggage
Other
Trade Type: (select one)
Shift Trade
One-way Shift Trade
I agree to work the following shift as noted (enter
name)
on (enter dates)
from/to (enter shift hours)
Requestor’s Signature
Date
12/25/14
Comments (optional)
SECTION II. Primary Trader
SSN (last 4):
5551
Name
Jon Davis
Airport Code
PHX
Current RDO(s)
THU FRI
Certification
(select one)
Status
Part Time
Full Time
Baggage
Position
TSO
Shift Hours (hh/mm)
Begin: 0400
a.m.
p.m.
Phone No.
480-555-5551
End: 1230
Checkpoint
a.m.
p.m.
Dual Function
Duty Location
Terminal/Concourse
T2
Trade Type: (select one)
Checkpoint
Shift Trade
01/01/2015
Trader’s Signature
TSA Form 1160-8 (11/13) rev [File: 1100.6.1-b]
Other
One-way Shift Trade
I agree to work the following shift for: (enter name)
on (enter dates)
Baggage
Jim Smith
from/to (enter shift hours)
Date
0400-1230
12/25/14
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Comments (optional)
SECTION III. Secondary Trader Information(complete if applicable)
SSN (last 4):
Name
Status
Part Time
Airport Code
Position
Full Time
Shift Hours (hh/mm)
Begin:
a.m.
Current RDO(s)
Certification
(select one)
Phone No.
Baggage
p.m.
Checkpoint
End:
a.m.
p.m.
Dual Function
Duty Location
Terminal/Concourse
Trade Request: (select one)
Checkpoint
Shift Trade
Baggage
Other
One-way Shift Trade
I agree to work the following shift for (enter name)
on (enter dates)
from/to (enter shift hours)
Trader’s Signature
Comments (optional)
Date
SECTION IV. Scheduling Officer
Part A. Intake Information
Date
Mode
Fax
Hand Delivered From (print name):
Comments (if required)
Received By (print name):
Part B. Scheduling Officer Approval
Approved
Disapproved (provide justification)
Justification
Name (print):
Signature
Date
Additional Comments (optional)
PRIVACY ACT STATEMENT: AUTHORITY: 49 U.S.C. § 114(n). Principal Purpose(s): This information will be used to grant
approval of shift trade requests. Routine Use(s): This information may be shared with Government and non-Government
organizations, and with the Department of Homeland Security, or for routine uses identified in TSA system of records, DHS/TSA
022 National Finance Center Payroll Personnel System. DISCLOSURE: Voluntary; failure to furnish the requested information
may result in an inability to approve shift trade requests.
TSA Form 1160-8 (11/13) rev [File: 1100.6.1-b]
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