Lamar State College Port Arthur
Self-Quarantine Guidelines
January 2021
Page 4 of 5
Remote Work Form
Employee Name: ____________________________
Supervisor Name: ____________________________
Task or activity
Expected length of time to
complete
Date(s) to complete
Supervisor Approval: _____Yes _____No
Supervisor Signature: _________________________________ Date:____________
Return the completed form to Human Resources to Tammy Riley at
Rileytl@lamarpa.edu