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<br />Attachment B <br /> <br />Santa Ana Urban Area Security Initiative <br />Training Reimbursement Application <br /> <br />RllqllTrllrnll"flo RllCeive Reimbursement forTrainlng <br />. Training must be ODP approved . Overtime or backfill may be reimbursed <br />. Agency to maintain documents verifying all . Per diem/travel can not exceed established <br />costs for three years guidelines of your agency <br />. Attach a copy of certificate. of completion <br /> <br />~. Em~ef!J'!fC?rmation <br />I Name: I ., <br /> <br />Agency: , <br />i I <br />i I <br /> <br />'Job- -----r--------------- <br />Assignment: I <br />i <br />Department' ! <br />Division: <br /> <br />Course Information <br />Course <br />Title: <br />;..i;,,\".'^'" <br /> <br />-I Course Number: <br /> <br />LoCStlonof <br />! Training: <br /> <br />Coursa Data: <br /> <br />[ Reimbursable Costs <br />I A. TuitionRei~bu-;';e~~~t nu h ------------r$--- <br />I B. Hotel, Travel, Per Diem I . - ------- -- I $ <br /> <br />I C~ 0;..""" Co" I'; Alteo'4=- ~~ =--~s: ,~:~:; I ~ <br /> <br />or <br /> <br />--l <br />i <br />! <br /> <br /> <br />D. Overtime Cost for Backfill <br /> <br />Hours X Rate = '-$--- <br />SumofA+B+D'';;.. $ <br /> <br />Signature of Person ~equesting Reimbursement: <br /> <br />Print Name: <br /> <br />Title: <br />