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BJMP Health Service Routing Slip

This document is a routing slip from the Bureau of Jail Management and Penology (BJMP) Health Service Office. The routing slip includes fields for the date, subject, sender's signature, and date/time. It lists various departments that the document needs to be routed to for action requested, signature, information, or other purposes. The bottom half is a duplicate of the top routing slip form.

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327 views2 pages

BJMP Health Service Routing Slip

This document is a routing slip from the Bureau of Jail Management and Penology (BJMP) Health Service Office. The routing slip includes fields for the date, subject, sender's signature, and date/time. It lists various departments that the document needs to be routed to for action requested, signature, information, or other purposes. The bottom half is a duplicate of the top routing slip form.

Uploaded by

ptsievccd
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
  • BJMP Routing Slip

BJMP Routing Slip REMARKS / INSTRUCTIONS

Health Service Office


Division
Control No. ________
Date: ___________
Subject: ________________________________________
_______________________________________________
_______________________________________________
FOR/TO FROM SENDER SIGNATURE DATE/TIME
______________
RD

______________
ARDA

______________
ARDO

______________
ADMIN

______________
OPERATIONS ACTION REQUESTED
______________ APPROVAL / SIGNATURE INFORMATION
LOGISTICS
APPROPRIATE ACTION SEE ME / CALL ME
______________
FINANCE COMMENT/RECOMMENDATION DISPATCH
______________ STUDY / INVESTIGATION FILE / REFERENCE
IWD REWRITE / REDRAFT SEE REMARKS
______________
CRS APPROVED / DISAPPROVED
______________
IPD

______________
HEALTH SERVICE

__________________________________________________________________________________________________

BJMP Routing Slip REMARKS / INSTRUCTIONS


Health Service Office
Division
Control No. ________
Date: ___________
Subject: ________________________________________
_______________________________________________
_______________________________________________
FOR/TO FROM SENDER SIGNATURE DATE/TIME
______________
RD

______________
ARDA

______________
ARDO

______________
ADMIN

______________
OPERATIONS ACTION REQUESTED
______________ APPROVAL / SIGNATURE INFORMATION
LOGISTICS
APPROPRIATE ACTION SEE ME / CALL ME
______________
FINANCE COMMENT/RECOMMENDATION DISPATCH
______________ STUDY / INVESTIGATION FILE / REFERENCE
IWD REWRITE / REDRAFT SEE REMARKS
______________
CRS APPROVED / DISAPPROVED
______________
IPD

______________
HEALTH SERVICE

BJMP Routing Slip Health Service Office Division Control No. __

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