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# DLA Official Forms

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| Form Number:  DLA1964                                                                                                              |
|------------------------------------------------------------------------------------------------------------------------------------|
| Form Title:  Hours of Duty Work Schedule Request                                                                                   |
| Form Version:  Oct 2017                                                                                                            |
| Status:  Active                                                                                                                    |
| Functional Area:  Human Resources                                                                                                  |
| Opr:  J1                                                                                                                           |
| Safeguards:  none                                                                                                                  |
| Electronic:  Yes                                                                                                                   |
| Form Link:  Documents/FormsSite/forms/DL1964.pdf                                                                                   |
| Type:  Primary                                                                                                                     |
| Prescribed:  DLAI 1422.02                                                                                                          |
| Description:  REPLACES DSCP FORM 5134, WHICH IS OBSOLETE. This form is used for optional use of work schedule selections.          |
| Records Retention:  5300.21 Supervisory Personnel folder. Destroy remaining documents 1 year after employee separation or transfer |
| Form Audience:                                                                                                                     |

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