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# DLA Official Forms

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Form Information
| Form Number:       | DLA1864                                                                                                                                                                                                                |
|--------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Form Title:        | Telework Request and Approval Form                                                                                                                                                                                     |
| Form Version:      | Oct 2022 (Modified                                                                                                                                                                                                     |
| Status:            | Active                                                                                                                                                                                                                 |
| Functional Area:   | Human Resources                                                                                                                                                                                                        |
| Opr:               | J1                                                                                                                                                                                                                     |
| Safeguards:        | PAS                                                                                                                                                                                                                    |
| Electronic:        | Yes                                                                                                                                                                                                                    |
| Form Link:         | Documents/FormsSite/forms/DL1864.pdf                                                                                                                                                                                   |
| Type:              | Primary                                                                                                                                                                                                                |
| Prescribed:        | DLAI 7212                                                                                                                                                                                                              |
| Description:       | This form authorizes employee participation in DLA's telework program.  Regarding duplicate use case, (ref, DLAI 7750.07, Paragraph 10b), DoD FMO authorizes DLA use of this form as a supplemental form DD Form 2946. |
| Records Retention: | 5300.19 Telework/Alternate Worksite Program. Destroy 1 year after end of employee’s participation in the program, or after superseded form becomes obsolete.                                                           |
| Form Audience:     |                                                                                                                                                                                                                        |

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