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Substitute Bus Extra Duty Report
This form must be submitted by the 12th of each month, for payment on or about the 27th of each month.
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* Indicates required question
Full Name
*
Your answer
Email
*
Your answer
Address
*
Your answer
Extra Duty Assignment
*
Your answer
Bus #
*
Your answer
Total Miles Driven (round trip)
*
Your answer
Date of Activity
*
MM
/
DD
/
YYYY
Starting Time of Activity
*
Time
:
AM
PM
Ending Time of Activity
*
Time
:
AM
PM
Total Hours Worked
Your answer
Rate of Pay
Your answer
Total Amount Claimed
Your answer
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