Bus. Off - Education Funding Reimbursement Form

Education Funding Reimbursement Form 2- Business Office
Facility*
Type of Education*

Employees who attended education ( Facility to complete Employee Name and Number of Hours Column only.

Rows	Employee Name	Date education completed	Position	Hours	Rate including all benefits ($)	Amount ($)	Funding Submitted	Funding Recieved
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15

Subtotal
Tax ($)
Total Amount
Is this form ready for Business Office Review?*
FORS BUSINESS OFFICE USE ONLY ***Is this form ready for Funding Submission
Should be Empty: