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1342.12 Companion
July 12, 2017
Page 151
DoDEA Request Form: Assistive Technology
Requestor’s Name:
Date of Request:
Title:
School:
Administrator:
District:
Reason for Request:
Target Audience:
Multiple Visit Request:
☐
Yes |
☐
NO
Proposed Date(s) of Visit:
Send request to:
District Superintendent
Assistive Technology ISS
Headquarters Office to coordinate purchase with Procurement and Resource Management