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<br />- <br /> <br />Attachment B <br /> <br />Santa Ana Urban Area Security Initiative <br />Training Reimbursement Application <br /> <br />Requirement to Receive~~i~l?l.Ir~~I!I~~tfor Training <br />. Training must be ODP approved . Overtime or backfiil may be reimbursed <br />. Agency to maintain documents verifying ail . Per diem/travel can not exceed established <br />costs for three years guideiines of your agency <br />. Attach a copy of certificate of completion <br /> <br />I I"~' fTJP/()..Yf!~Jl1f.O!mation <br />Name: ' <br /> <br />I . <br />Agency: <br /> <br />'TJob ... . .... <br />Assignment: <br /> <br />-.r-----..,....-----."'-~---.--- --- <br /> <br /> <br />Department! <br />Division: <br /> <br />i Course Information <br /> <br />I cou~e . \ .. <br />I TiUe:.< ... . <br /> <br />I Location of <br />i Training: 1 <br /> <br />. \ CourSe Number: <br /> <br />, Course Date: <br />I <br /> <br />I Reimbursable Costs <br />. A:~T(jitidn RehT1burse~~nL_=I~-"~"'- <br />B. Hotel, Travel, Per Diem I' <br />I .. .... , <br />I I <br />ll-" .-, ...'----Z7- . ,\...~-_...-.... <br />_9.,Q~e_r1~rl1e Cost for Attendee I <br />I I <br />or <br /> <br />f$ <br />,$ <br />.. ..---.-1 <br />Hou~ X Rate = I $ <br />... ... "'slim oTMBi--C= I $ <br /> <br />I Name of Backfill <br />, Em \0 ee: <br />Overtime Cost for Backfill <br /> <br /> <br />Hou~ X Rate = $ <br />Sum of ,Il.+B+D = I $ <br /> <br /> <br />Signature of Person Requesting Reimbursement: <br /> <br />Print Name: <br /> <br />Title: <br /> <br />