4. Completion of the information below serves as the electronic signature for the individual completing this application and attests to the accuracy of the information provided.
I, the Requester, understand that I am requesting grant funds from CT HCC and that such funds are restricted under the guidelines set forth by the Hospital Preparedness Program and the Governance of the CT HCC.
I understand that completing this application does NOT guarantee approval to be reimbursed and that I am only approved for reimbursement after I recieve a confirmation email from the Readiness and Response Coordinator.
I understand that if approved for travel, I will be responsible for providing a short presentation to CT HCC members on key lessons learned from attending the conference.
I understand that if approved for travel, I will not receive reimbursement until AFTER attending the conference and submitting all applicable travel receipts.
I understand that failure to submit receipts will hold me financially responsible for travel costs incurred.