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<br />Attachment B <br /> <br />Santa Ana Urban Area Security Initiative <br />Training Reimbursement Application <br /> <br />Requirement to Receive Reimbursement for Training <br />. Training must be OOP 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 />i ~mp/~Y!!~Jn~,?,._-,,!!aJ!'!'! <br />Name: <br /> <br />"Joil <br />Assignment: <br /> <br />, Agency: <br />I <br /> <br />DepartmenU <br />Division: <br /> <br />Course Information <br /> <br />: Course <br />I Title: <br /> <br />I Location of <br />! Training: <br /> <br />Course Number: <br /> <br />Course Date: <br /> <br />Reimbursable Costs <br />I .-..-.-----~----~---..."-.~--------.:--.--~----.~ <br />I A. __Tuition Reimbursement <br />I B. Hotel, Travel, Per Diem <br />, <br />i <br />, <br />, <br />I <br />I..---------.,-~-----_.,..--_.__.._~_.~._,._._--,..__. <br />I C. Overtime Cost for Attendee <br /> <br />$ <br />-----~._--------------~..._---_.._-,._._-" <br />$ <br /> <br /> <br />------Rours -j( Rate ;$ <br /> <br />$ <br /> <br />Sum of A+B+C = <br />\-'- <br /> <br />Name of Backfill <br />Em 10 aa: <br />D. Overtime Cost for Backfill <br /> <br />or <br />--..--.".".-.,.-- <br /> <br />I <br /> <br />Hours X Rate; $ <br />Sum of A+B+D = $ <br /> <br />Signature of Person Requesting Reimbursement: <br /> <br />Print Name: <br /> <br />Title: <br />