Field Staff Local Semi-annual Certification

Name(Required)
Selection
  • 7a:
  • zg Outreach
  • General Employment Services
  • General Business
  • 7b:
  • JGG

Employee Authorization

By signing below, I certify that I worked on the cost objectives as indicated on this form, and in accordance with the time/ percentage of direct charges in accordance with the OWD Cost Allocation Plan.
By typing in your full name, you are signing this document.