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Outside Clearance Form Services must be done by your PCP (Primary Care Physician), not employee health services. Employee name:Phone Number:Department Name:Department Contact Name & PhoneRequired
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How to fill out outside clearance form

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How to fill out outside clearance form

01
Obtain the outside clearance form from the appropriate department or office.
02
Fill out your personal details such as name, contact information, and department.
03
Provide information about the date, time, and purpose of the outside activity you need clearance for.
04
If necessary, include details about any equipment or materials you will be using.
05
Sign and date the form before submitting it to the designated person or office for approval.

Who needs outside clearance form?

01
Employees planning to engage in activities outside of their regular work duties.
02
Students participating in field trips or off-campus events.
03
Volunteers representing the organization at external events.
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Outside clearance form is a document used to report any outside activities or financial interests that may pose a conflict of interest with an individual's primary duties.
Employees, contractors, or individuals receiving funding from an organization may be required to file an outside clearance form.
To fill out an outside clearance form, individuals typically need to provide details about their outside activities, financial interests, and any potential conflicts of interest.
The purpose of the outside clearance form is to ensure transparency and disclose any potential conflicts of interest that may arise from an individual's outside activities or financial interests.
Information such as outside activities, financial interests, and potential conflicts of interest must be reported on the outside clearance form.
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