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Care Extender Forms


Forms for UCLA Care Extender ProgramNote: As of February 2014, you do not need to cc the Administrative Coordinator on Leave of Absence, Extension Requests, Reorientation Quizzes, and TB Questionnaires.

Check our Meet the Staff page for the updated staff emails. The old emails are now inactive. Keep this in mind as you email the Leave of Absence Coordinator and Extension Coordinator and as you CC your Department Coordinators.