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EXHIBIT C <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 Hours: <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 OFSANTA ANA (CASA( MOU1 2017-2018 <br />Page 95 <br />