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RA Duty Change Form

After completing this form, please make the change on the duty schedule, and place a copy in your supervisors mailbox. This must be completed prior to the scheduled shift. The original RA on the duty schedule will be responsible for the shift if it is not covered. If trading places on the duty schedule, a duty change form should be filled out for each duty. Following approval of your supervisor Public Safety and the professional staff on duty must be notified of all duty changes.
Email Address:
Today's Date:
Original RA on Duty:
Substitute RA:
Date of Duty:

_________________________________________________________________________________________

Who of the following people need to receive this form?
Karolina Dreher
David Stuart
Rory Deegan
Andy Bright
Stacey Scherer

 



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