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Distance Log Form

First Name:
Last Name:
E-mail: 
Phone: 

Date Miles Completed    Type of Activity


     

State law requires that you be informed of the following: (1) with few exceptions, you are entitled on request to be informed about the information the University collects about you by use of this form; (2) under sections 552.021 and 552.023 of the Government Code, you are entitled to receive and review the information; and (3) under section 559.004 of the Government Code, you are entitled to have the University correct information about you that is incorrect.


Date Updated: 12-NOV-2008
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