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DOC Human Resources Division

Duty Station at Home/Admin. Leave
Printable Duty Station/Administrative Leave Checklist Form
Click Link for Printable Duty Station at Home/Administrative Leave Checklist form (PDF)

Duty Station - Home/Administrative Leave
 
 
Duty Station at Home Effective Date: _______________________
Administrative Leave Effective Date: _______________________
 
Information Technology Turned Off
 Outlook
 Secure ID Card    
 Telephone/Voicemail
 Applications, (i.e. DOC400, AFAMIS, Trust, ORPIN, Zephyr, OSPS, etc.)
  
DOC Property Returned to Manager
 Employee Assigned Property Tracking CD1489 
 DOC Photo ID
 Black Name Tag
 Keys/Key Fob
 Key Chits/Card
 Cell Phone/Mobile Device/Chit 
 Pager
 PDA
 Laptop
 Memory Stick (Flash Drive)
 Cards
       Phone
       DAS Motor Pool
       Spots
       Voyager
 Projects _____________________________
Other Equipment ______________________
  
Duty Station at Home
 Agency Liaison: _______________________
 Duty Station Days: 
SunMonTueWedThuFriSat
 Scheduled Hours: 
 8 a.m. to 5 p.m. with 1 hour lunch 12 noon to 1 p.m.
 Other Schedule:_______________________
 
Agency Liaiaon Check In
Date
Time
Available
Liaison
Comments
  
Yes
No
Initials