[L-12] First Aid/CPR Training Reimbursement

[L-12] First Aid/CPR Training and Substitute Care Reimbursement and Mileage Stipend

For Licensed Family Child Care Providers
Who is eligible? Individuals that hold the title of “Provider” in a Registered Family or Certified Family Child Care setting.

Requirements for payments:
1. Training must be uploaded to the Oregon Registry Online (ORO).
2. Provider must be linked to the facility in ORO and listed as “provider”.
3. Reimbursement for training will be up to what the local Child Care Resource and Referral Agency Charges.
4. Reimbursement for substitute care during normal business hours will be for the actual cost of substitute care and must not exceed $80 for one half day or $160 for a full day.
5. WOU Substitute W-9 with information verifiable with IRS.
Questions: 503-838-8008, tripayments@wou.edu
Program/Provider Name
Program Provider #
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Do you provide childcare to infants or toddlers (ages 0-3)?
Date of Training
Training Title
Amount
Substitute Care

For training taken during normal business hours.
Did you pay for substitute care to take this training during normal business hours?
- Half Day or Full Day?
- Receipt for cost of substitute care paid to substitute
  
  Cancelof
- Milage Stipend
  
  GSA Rate $.725/mile
- Address of Childcare
- Address of Training Location
- Miles Traveled (Program to Training)
- GSA Rate $.725 x Miles Traveled = Amount
- First Aid/CPR classes are offered free through local Child Care Resource and Referral (CCR&R) agencies. Please share why you chose to take this training instead. This information will help inform our system practices.
- Include the following with this form: (Note: Forms with missing information will be held for payment until it is received.)
  1. Original receipt for training session
  2. Receipt for cost of substitute care paid to substitute
  3. WOU Substitute W-9
- Original receipt for training session
  
  Cancelof
- Payment Information:
  
  (Must match WOU Substitute W-9).
- Name of business/Individual requesting payment
- Street Address
- City, State, Zip
- Signature
- Date
  
  MonthDayYear
  Date

[L-12] First Aid/CPR Training and Substitute Care Reimbursement and Mileage Stipend

Substitute Care

Milage Stipend

Payment Information:

Demographics Questionnaire