Laserfiche WebLink
<br />Attachment B <br /> <br />Santa Ana Urban Area Security Initiative <br />Training Reimbursement Application <br /> <br />Requirement to Rece.ive Reimbursement for Training <br />. Training musl be ODP approved . Overtime or backfill may be reimbursed <br />. Agency to maintain documents verifying all . Per diem/travel can not exceed eslablished <br />costs for three years guidelines of your agency <br />. Attach a copy of certificate of completion <br /> <br />I Emplo'lee Informatlon---- <br />iNsme: - - . . . ------ Job- <br />Assignment: <br /> <br />Agency: <br /> <br />DepartmenV <br />Division: <br /> <br />i Course Information <br />CQprse <br />'j'JUe: <br /> <br />Location of <br />Training: <br /> <br />i Course Number: . <br /> <br />Course Date: <br /> <br /> <br />. Reimbursable Costs <br />_.~"---~--~--_._---.- -_.....-"----_.__...-.,-,. <br />A. Tuition Reimbursement <br />L......_..,.__..____.__ <br />. B. Hotel, Travel, Per Diem <br /> <br />L______ ,"'i:' .......>". . ._.~- -----'.....;..---.:..... <br />I C. OverthneCqst for Allen_deEl.._ __ <br />I <br /> <br />Hours X Rate = <br /> <br />Sum of A+B+C = <br /> <br />or <br /> <br />Name of BaCkffli-- <br />Em 10 : <br />D. Overtime Cost for Backfill <br /> <br />Hours X Rate = $----. <br />Sum of A+B+D = I $ <br /> <br />Signature of Person Requesting ReimbUrsement: <br /> <br />Print Name: <br /> <br />Title: <br />