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CPR Overtime Hours to be Charged to 295301 - CPR

 

CPR Overtime Hours to be Charged to 295301

*First Name:

*Last Name:

*Start Date (mm/dd/yy): *Start Time (0700):

*End Date (mm/dd/yy): *End Time (0700):

*Total Time (Example:5.75 for 5 hours & 45 min):

*Authorized By:
(Please type FULL NAME of individual, ie: John Doe)

*Description:

* fields required to submit this form


Fire & Rescue Department