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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

 
Duty Station - Home/Administrative Leave
 
 
Duty Station at Home Effective Date: _______________________
Administrative Leave Effective Date: _______________________
 
​Notify the Following:
Assistant Superintendent​
​Officer in Charge/Captains
​Institution Security Manager
​Master Control
Information Technology Turned Off
  Outlook
  RSA Token   
  Telephone/Voicemail
  Applications, (i.e. DOC400AFAMIS, Trust, ORPIN, ZephyrOSPS, 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
  Laptop
  Memory Stick (Flash Drive)
  Cards
        Phone
        DAS Motor Pool
        SPOTS
        Voyager
  Projects _____________________________
Other Equipment ______________________
   
Duty Station at Home
  Agency Liaison: _______________________
  Duty Station Days: 
Sun Mon Tue Wed Thu Fri Sat
  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