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First and Last Name
   
 
 
TEP Position/Title
   
 
 
Email Address
   
 
 
Task completed
   
 
 
Date Task was completed
 
 
Good news? (If you did not complete a task but have some news to report, please select.
Real bad
Bad
Meh!
Okay
Exciting
 
 
What's the news?
   
 
 
Follow up required?
 
Yes
 
No
 
 
If yes, please comment
   
 
If you had to contact a person/organization/business to achieve your task, please put the relevant info.
First Name : 
Last Name : 
Address 1 : 
Address 2 : 
City : 
State : 
Zip : 
Phone : 
Email Address : 
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