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<br />Attachment B <br /> <br />Santa Ana Urban Area Security Initiative <br />Training Reimbursement Application <br /> <br />_ _ __J~4!guirementto Receiv~ ~~hll_l?l.Ir~~~_~~Jf~.rT!~i~i_~g__ <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 estabiished <br />costs for three years guidelines of your agency <br />. Attach a_copy of certificate of completion.. <br /> <br />I Emp~~ieelnform,ation <br /> <br />rName: . <br />I <br /> <br />I Agency: <br /> <br />-1 i':\gn-ment: <br />1 <br />I DepartmenV <br />DiVISion: <br /> <br />..--'1 <br />, <br />! <br /> <br />Course Information <br />Cours" <br />Title: <br /> <br />Course Number: <br /> <br />I Location of. : <br />Training:' . ., ,.,;. .. <br /> <br />Course Date: <br /> <br />! Reimbursable Costs <br />iA.TuitionReimbursement -I <br />13,: Hotel, Travel, Per Diem <br /> <br />- _._.==.:::.==~~$---- .. . <br />!$ <br /> <br />C. Overtime COst for Attendee <br /> <br />"/<</" <br /> <br />Hours X Rate = $ <br /> <br />$ <br /> <br />Sum ofA+B+C :;: <br /> <br />or <br /> <br />[Name ,,(Backfill <br />, Em 10 ae: <br />r D. Overtime Cost for Backfill <br /> <br />Hours X Rate = $ <br />Sum of A+B+D = $ <br /> <br />--'-,.~ <br /> <br />Signature of Person Requesting Reimbursement: <br /> <br />Print Name: <br /> <br />Title: <br />