Section_J_-_Atch_69_-_Roleplayer_T A_Report.pdf

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Student Support Services
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HSFLAR-17-R-00001
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Section J - Atch 69

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Text version

OAMO-FTC-OGT-58

RECEIVING REPORT

TIME AND ATTENDANCE RECORD

NOTE: In order to complete this record, the Instructor must:

1. Note starting and ending times for each role player

2. Have roleplayer (s) initial the record

3. Forward the original and copy to the Roleplayer coordinator, administration building no later that COB of the following work day.

DATE: ____________ SCENARIO NO. & TITLE ___________________________________________________

PROGRAM/CLASS NO _________________________SCHEDULED EXERCISE TIME: ___________________

NO. AND TYPE OF CONTRACTOR VEHICLES USED: (SEDANS, VANS, ETC):

ROLEPLAYER ARE REQUIRED TO INITIAL RECORD TO VERIFY TIMES RECORDED:

ROLEPLAYER NAME TIME TIME ROLEPLAYER NOTES

(PLEASE PRINT) IN OUT INITIALS

Signature: Instructor/PO Representative-- Division/Agency

Atch 69 (Page 1 of 1)

Sheet1

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