Training & Reimbursement Request Form
  • Training & Reimbursement Request Form

    Training & Reimbursement Request Form

  • This form is used to either request permission for an upcoming training event or to submit for reimbursement for an expense. 

    Below, please choose Training to request permission to attend upcoming learning initiatives and professional development. In addition to granting permission to attend, this approval may also act as a pre-approval for reimbursement. 

    Choose Reimbursement if you are seeking reimbursement for out-of-pocket expenses from the Department.

    If you have questions before you fill out the form, reach out to QOLTraining@Phila.gov. 

  • Type of Request:

  • Employee Information

  • Date*
     - -
  • I am a...*
  • Format: (000) 000-0000.

  • Double check that the email addresses above are correct.  If your supervisor and/or manager do not recieve this request via email it cannot be approved. 

  • Double check that the email address above is correct.  If your supervisor does not recieve this request via email it cannot be approved. 

  • Training Request

  • Is this training being provided by the department (QOL)?
  • Is training more than one day?*
  • Are the training dates consecutive?*
  • Date of training / Start date of training*
     - -
  • End date of training*
     - -
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  • Does this training provide Continuing Education Credits (CEUs)?*
  • Does the training cost money?*
  • Is the training in person or virtual?*

  • Reimbursement Request

  • Type of Reimbursement*
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