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Get MI DCH-1012(E) 2011-2024

Er 3. Gender 6. City 10. Home Phone 13. Bargaining Unit (if applicable) 8. Zip Code 11. Bureau/Region/Office/Division (indicate one) 12. Work Hours 14. Immediate Supervisor 15. Supervisor Work Phone 16. Accused Name 17. Race 20 Accused Work Phone 22. Immediate Supervisor 21. Bargaining Unit 7. State 18. Gender 19. Bureau/Region/Office/Division (indicate one) 23. Supervisor Work Phone 24. What is the relationship of the accused to the department? contractual, vendor, employee, e.

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