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<br />Attachment B <br /> <br />Santa Ana Urban Area Security Initiative <br />Training Reimbursement Application <br /> <br />~_~~_=-.:.. _ __ R:equireii1ent!<>~R:~~eiv!'R:~nib~rs~ii1e:nf!()r T!j{rifug=:::"':_~_-=__-== I <br />. Training must be ODP approved . Overtime or backfill may be reimbursed I <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--"()pygfcertiflcate of completion <br /> <br />Emplo ee Information <br />Name: <br /> <br />--l Job T- <br />Assignment: I <br /> <br />I D~p~rtmenU I' <br />DIVIsIon: . <br /> <br />-----1 <br /> <br />I <br />I <br /> <br />I <br />I Agency: <br /> <br />Course Information <br />I Course <br />Title: <br />I <br />'I Loca~ion of I <br />,Tralnmg: , <br /> <br />- ---I <br /> <br />- T Course'Number: - <br />I Course Date: <br /> <br />IRefmbursableCosts --- --- ---------,---------- -------- <br />~ Tuition Reimbursement <br />I - <br />L' Hotel, Travel, Per Diem <br /> <br /> <br />I ---.----------~---~-._- ~.-._- <br />~. Overtime Cost f~r Attend~e <br />! <br /> <br />$ <br />$ <br /> <br />Hours X Rate = I $ <br />Sum of A+B+C = $ <br />....,' . , _.__..._ . un__ <br /> <br />or <br /> <br />!NimeoiBaci(iiii--r-- <br />I Employee: <br />: D. Overtime Cost for Backfill <br />, <br />i <br /> <br />Hours X Rate = I $ <br />Sum of A+B+D =1 $ <br /> <br />Signature of Person Requesting Reimbursement: <br /> <br />Print Name: <br /> <br />Title: <br />