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Date Student s Name Student ID Local Phone No. Area Dept Core Option Core Option Pattern 3. Advising pattern CCRT RT PNRM EM RLM Minor THE COURSE YOU HOPE TO REPLACE Dept Abbreviation Course No. Course Title Units Dept Name in full College/University Name Instructor s Name Title s of Text s Used Grade Date completed Course description include catalog number and description or attach photocopy from catalog JUSTIFICATION Use space provided on reverse side. SIGNATURES Must be obtained in...
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Who needs csuc ccrt form:
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Students who are applying to or enrolled in a program at CSUC that requires a CCRT (Conditional Course Repeat/Retake) form.
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What is csuc ccrt form?
The csuc ccrt form is a form used to report work-related injuries and illnesses.
Who is required to file csuc ccrt form?
Employers are required to file the csuc ccrt form.
How to fill out csuc ccrt form?
The csuc ccrt form can be filled out online or submitted via mail with all required information.
What is the purpose of csuc ccrt form?
The purpose of the csuc ccrt form is to track and monitor work-related injuries and illnesses.
What information must be reported on csuc ccrt form?
Information such as the date of injury/illness, type of injury/illness, and any medical treatment received must be reported on the csuc ccrt form.
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