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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 ODP 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.,,-copy of certificate of completion. <br /> <br />I. Emp(oyee l1J.fCJ'.fTla.!iC!n_ <br />Name: <br />, <br />, <br /> <br /> <br />. ."Job--- .-T-.-~.---.-,. <br />Assignment: ! <br /> <br />DepartmenU <br />Division: <br /> <br />; Course Information <br />CoOrse <br />Title: <br /> <br />! C'lurSe'-'N'umber:' <br /> <br />L.ocation of <br />Training: . <br /> <br /> <br />CourSe Date: <br /> <br />i Reimbursable Costs <br />1----.... . .. .... .... .T-....-'~--_.. <br />I A. Tuition Reimbursement <br />--'........--.----..---...------r--..m.-.. . - .. ..- <br />B. Hotel, Travel, Per Diem <br /> <br />~-_..._._._._.. '--'. .. ..<..<...... <br />IS.,ove~irn~~ost forAttendee . <br /> <br />$.m_-~-1 <br />$ <br /> <br />Hours X Rate = $ <br />Sum of A+B+C = $ <br /> <br />or <br /> <br /> <br />D. Overtime Cost for Backfill <br /> <br />HourS X Rate = $ <br />Sum of A+B+D = i $ <br /> <br />Signature of Person Requesting Reimbursement: <br /> <br />Print Name: <br /> <br />Title: <br />