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                  American Red Cross Staff Request Form 

    Form Info

 DR#:                              Date of Request : 
 Request for Skilled DRO Workers
 G/A/P Positions/Specialty Track:
 SA and Above
DRO Scheduled hours
How many
workers?
Where do these workers report?
For how many days?
First day workers needed
Who do they report to?
 
to
 
to
 
to
 Request for Virtual Workers
During these hours

How many
workers?

How many days?
First day
needed
Who do they
report to?
Contact Phone/Email
 
to
 
to
 Request for EBVs  
       
 
to
 
to

 Printed Name and Signature of Person Submitting Request  Date Requested  Email Address used on this DRO
     
 Requestor’s Position  DRO Phone Number  Work Location
     
 Approver Name and Signature  Approver’s Position  Approver DRO Phone Number
   
 Staff Services Only:
 Date & Time Received in Staff Services:  Volunteer Connection Data Entry:
   Date & Time:   SS Worker’s Name:
                      DCS JT DMWT Staff Request Form V3.2