HomeMy WebLinkAboutFD-68 - Sub-Joint Apprentice Committee (SUBJAC) Reimbursement Form
FD-68
SUB-JOINT APPRENTICE COMMITTEE (SUB-JAC)
REIMBURSEMENT FORM
Name: Station No./Shift:
Course/ Title: Date:
Seminar
Expenses:
Registration Fee $
Textbook (s) $
Other: $
Certification Type:
Fee: $
Other Specify: $
TOTAL REIMBURSEMENT AMOUNT $
Comments:
Training hours for this reimbursement request have been
entered into the LMS within 10 days of course completion.
Yes No
Instructions: Complete one form per class or certification. Attach supporting
documentation (e.g., a receipt showing the amount paid and a grade transcript, copy
of certification, or proof of successful completion) and route to the Training Division.
Reimbursement requests are only accepted after the successful completion of a
course or seminar. For questions, please contact the Training Division at 621-4200.
For Office Use Only
Check No.
Amount:
Date: