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SOUTH ORANGE RESCUE SQUAD,INC. <br /> North Carolina <br /> Standard Operations Manual <br /> Subject: Training Reimbursement SOM No.:GEN-002-Appendix A <br /> Effective Date: July 1,2005 <br /> Revision Date: Authorization Signature: <br /> Training Reimbursement Request Form <br /> Member's Name: Date Submitted: <br /> Name of Class/Event <br /> Date(s)of Class/Event: <br /> Please briefly explain how this class/event will benefit SORS and your EMS/Rescue Education: <br /> Description Estimated Expense Actual Expense(Filled out at the completion of the class) <br /> Tuition <br /> _Lodging_ <br /> Travel <br /> **Please Contact your training officer with questions about this form <br /> **Please attach any and all supporting documentation(receipts,advertisements,etc)to this form, <br /> and turn it in to your training officer. <br /> DECISION: APPROVED MODIFIED AND APPROVED DENIED <br /> APPROVED AMOUNT at initial review: <br /> Training Officer Date: <br /> Member Date: <br /> REIMBURSED AMOUNT at final review: <br /> Training Officer Date:, <br /> Member Date: <br /> GEN-002 Appendix A-Training Reimbursement <br /> -1 of 1- <br />