Engagement and Contact Information

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Provision Type for Extension

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Extension is being requested under the provisions of: *

Explanation for Extension

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Please attach a file containing a written explanation for the extension request. We require that the attached document and explanation includes agency name, the agency ID number, the date the extension request is being made and the name of the person requesting the extension.

Please provide sufficient information to enable the Legislative Auditor to understand the effects on your particular agency. Inadequate descriptions may cause delays in approval of your request.

Please be sure to send in your extension request before the due date of your report to ensure you will receive confirmation of approval.

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Date for Report Submission

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Policy Acknowledgement and Request Submission

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