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Severe Weather Meal Voucher Request Form

This form is for use by department managers or designees to request meal vouchers for employees who are required to work extended hours during the Severe Weather Plan.

All fields are required.


Unit Name:
Department Budget Chartfield (25 digits):
Do these employees provide clinical care?
Contact phone number:
Number of meal vouchers needed:
Manager or Designee:
Manager or Designee's phone number:

Manager or Designee's e-mail address:

Please click submit ONLY once.







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