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    ​Central Services Forms

    File Name Date Last Updated

    Description
    Building Access Request Forms
    bldgproxreq.doc  12/11/14 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.doc  11/01/2017 Key Request/Receipt - MDH Form 4572
    keyrequest.pdf  
    Forms Management Form
    form4650.doc  11/01/2017 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  01/31/07 MDH Personal Cellular Telephone Calls Reimbursement Report
    form_4623.pdf  
    form_4623A.doc  02/16 Lost or Damaged Mobile Device Reimbursement
    form_4623A.pdf  
    form_4622.doc
    form_4622.pdf  
    05/16 MDH Cell Phone Accountability Acceptance and Policy Acknowledgement Form
    Warehouse Forms
    4900form.doc  11/01/2017 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.p​df