Telecommuting Request Non-COVID

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Ad Hoc ie inclement weather one day project Note For Ad Hoc reasons this form only
ShortTerm up to 3 months
LongTerm 312 months
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06/13/2026Click to Sign
Signature HereDepartment Head Signature Will Sign Here
06/13/2026
Signature HereJessica Tucker Will Sign Here
06/13/2026
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