WHVRS Non-Duty Hour Submission Form
First Name: *
Your answer
Last Name: *
Your answer
Type of hours: *
Start Date: *
MM
/
DD
/
YYYY
Start Time: *
Time
:
End Date: *
MM
/
DD
/
YYYY
End Time: *
Time
:
Total Hours: (Round to the nearest half hour) *
Submit
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