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Training Request Form
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This form has been modified since it was saved. Please review all fields before submitting.
This section is to be filled our by the employee. Itinerary must be attached.
Employee Name
Training Class
Date of Training
Date of Training
Location of Training
Employee Signature
Yes
By checking yes, I am providing what amounts to an online signature for this form.
Immediate Supervisor Approval
Training Fee
Pay By
Check
Credit Card
Per Diem in State
Breakfast
Number of Meals Times $10
Lunch
Number of Meals Times $14
Dinner
Number of Meals Times $18
Per Diem Out of State
Breakfast
Number of Meals Times $10
Lunch
Number of Meals Times $14
Dinner
Number of Meals Times $22
Total Amount of Per Diem Requested
Mileage Claimed
Yes
Mileage Cost
Number of Miles Times $0.58
Other Reimbursements
Total Reimbursements
Department Head Approval
Please note that a one week notice is required for Per Diem. The form needs to be filled out and approved by your Supervisor/Department head before any arrangements or checks will be issued. Please allow appropriate time. All arrangements for per diem, travel, training, etc. will be made by your Supervisor.
If any changes are made to the request after submitted to accounts payable you will be required to foot the bill and then submit receipts later. Please keep in mind that reimbursements will be paid in a timely manner and no requests will be expedited.
Document Upload
Training Itinerary Must Be Attached to This Form
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Email address
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