Community Service Hours Verification
Part 1 - To be completed by Client
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Request Date
MM
/
DD
/
YYYY
Client Name
Service
Date of Service
MM
/
DD
/
YYYY
Start Time
Time
:
End Time
Time
:
Location
Supervisor Contact Name
Supervisor Contact Number
For more information,
OOH Training Department : 443.805.8927  
OOH Main Office 1.855.9. OOHHOPE (1.855.966.4467)
PW@OrganiationOfHope.org
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