Laserfiche WebLink
<br />Attachment B <br /> <br />Santa Ana Urban Area Security Initiative <br />Training Reimbursement Application <br /> <br />.____. _~e_q~_~~~'!1~_~J~_~ec~_!~f:!_ ~el~~l:I!~~En~~!Jq~J.!~~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 established <br />costs for three years guidelines of your agency <br />,_ _~__ _ Att"c:ha cOl'.yof certific"teqfc.ompletion ,- ,----- <br /> <br />i Employee Information <br />iName: -r <br /> <br />i Agency: I <br /> <br />I . <br />, , <br /> <br />~--r---- <br />! - Assignment: I <br /> <br />I DepartmenV I <br />Division: <br /> <br />r- __n_ .. .- -- -..--- <br />! Course Information <br /> <br />I Course <br />I Title: <br /> <br />I Location of I <br />! Training: <br /> <br />- ---rCours'eNumber: <br />! <br /> <br />I Course Date, <br /> <br />I <br />I <br />__ ..__________J <br /> <br />~......, <br /> <br />r....-----~._..._-_.----------.-.------------------..-'-". <br />I Reimbursable Costs <br />A. Tuition Reimbursement <br />B. Hotel, Travel, Per Diem <br /> <br />$ <br />$ <br /> <br /> <br />I C. Overtime Cost for Attendee <br />I <br /> <br />Hours X Rate::: $ <br />Sum of A+B+C = $ <br /> <br /> <br />or <br /> <br />Narii.-ofBackrul- '-r- <br />Employee: <br />D. Overtime Cost for Backfill <br /> <br />___ SUm:fo::~:~e ~-I : <br /> <br />Signature of Person Requesting Reimbursement: <br /> <br />Print Name: <br /> <br />Title: <br />