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# DLA Official Forms

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Form Information
| 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| Description:       | REPLACES DSCP FORM 5134, WHICH IS OBSOLETE.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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