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Get E-resource Account Application - Public Health

K PHONE # POSITION/TITLE Email address I am a permanent DPH/HSA Employee I am a temporary DPH/HSA Employee/Student. I will leave DPH/HSA on: Date Other, please explain: I am requesting this account in order to access DPH/HSA licensed e-resources. I understand that this request incorporates all of the County of Los Angeles, DHS, and DPH policies concerning computer usage. Signature Date Instructions. Fill in the information above, print, sign and scan and e-mail or send to: Norma Layton L.

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