SPFE Facilitator Payment Request
What is your name?
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What is your district employee ID?
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Which class did you facilitate?
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Please Select
Foundations I
Foundations II
MSBC
SFC
Restorative Practices: Intro to Circle
Parent Teacher Home Visits
Other
Please Enter Information for Payment by SPFE
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Rows
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Class Date
Class Section
Prep Hours to be Paid by SPFE
Hours submitted to District (PTHV excluded)
Class Title
Class
Title
Class Title
Total number of Prep Hours
Hours Submitted to District (Union reimburses District 1/2). This is for Union Accountant Use Only. PTHV Payments do not need to complete this part.
I certify that these hours are true and correct, and SPFE should reimburse me, and the district, for the information provided.
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