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EXHIBIT D <br />9/80 HARDSHIP CLAIM FORM <br />Name: <br />Division /Section: <br />Position: <br />Work Telephone Number: <br />Supervisor Name and Telephone: <br />Work Hours: <br />Proposed Work H <br />Basis for Hardship Claim: <br />Options explored by employee to resolve the hardship: <br />Employee's proposed solution: <br />Supervisor's needs /concerns /comments: <br />Hardship Committee Recommendation to Department Head: <br />CONFIDENTIAL ASSOCIATION OF SANTA ANA (CASA) MOU: 2015 -2017 Page 98 <br />