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TELEWORK CENTER at THE CORPORATE OFFICE
REGISTRATION for Information
Agency
Department
Contact Name
*
First
Last
Contact Email
*
# of Telework Spaces Required
Technical Requirements
Computer(s)
Internet
VPN
FIPS 140-2 Compliance
Phone Number
*
###
-
###
-
####
Website
Type of Office
Executive Office(s)
2-Person Office(s)
Cubical (Shared Workspace)
Start Date
MM
/
DD
/
YYYY
Lease Length
*
Choose One
6 Months
12 Months
12+ Months
Custom
Budget ($)
Notes / Special Requests:
TCO Rep (First/Last Name):
Online Broker Name:
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