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​Central Services Forms

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File Name	Date Last Updated ​	Description
Fleet Forms
Acknowledgement Statement for Drivers of State Vehicles.doc	07/17	Acknowledgement Statement for Drivers of State Vehicles
Acknowledgement Statement for Drivers of State Vehicles.pdf
Building Access Request Forms
bldgproxreq.doc	07/20	Building Prox Access Request Form
bldgproxreq.pdf
Inventory Forms
excesspr.doc	09/30/02	Excess Property Declaration
excesspr.pdf
Hard Drive Surplus Sheet	04/18/14	Hard Drive Surplus Sheet
Hard Drive Surplus Sheet
stolenpr.doc	09/30/02	Report of Missing or Stolen State Property
stolenpr.pdf
Key Request Form
keyrequest.pdf​	01/17/19	Key Request/Receipt - ​MDH Form 4572
Forms Management Form
form4650.doc	04/07/06	Request for Approval of a New, Revised, or Deleted Form
form4650.pdf
Telecommunication Forms
NEC32_ButtonSeries1.doc	04/07/06	NEC Telephone DTR-32D-1 White
NEC32_ButtonSeries1.pdf
telecsr.doc	09/30/02	Telecommunication Service Request
telecsr.pdf
pbxbill.doc	09/30/02	Request to Add/Change/Delete PBX Billing Information
pbxbill.pdf
form_4623.doc	07/17	MDH Personal Cellular Telephone Calls Reimbursement Report
form_4623.pdf
form_4623A.doc	07/17	Lost or Damaged Mobile Device Reimbursement
form_4623A.pdf
form_4622.doc form_4622.pdf	07/17	MDH Cell Phone Accountability Acceptance and Policy Acknowledgement Form
Warehouse Forms
4900form.doc	07/17	MDH FMIS Supplies Order Form
4900form.pdf
dupreq.doc	01/22/03	Duplication Request
dupreq.pdf
req_568.doc	01/22/03	Requisition - MDH 568
req_568.pdf
leave_cards.doc	06/05/09	Request for Leave
leave_cards.pdf

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