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Kittit <br />,: <br />unty <br />'`; <br />Request for hereby made for authorization for travel at county expense for <br />Employee's Name <br />March 15, 2010 through March 18, 2010; <br />Start Date .End Date <br />to <br />VANCOUVER, WA AND PORTLAND, OR <br />Destination <br />The purpose of the trip. <br />EMERGENCY VEHICLE OPERATOR COURSE INSTRUCTOR UPDATE <br />Cost of Training <br />Registration $500.00 <br />Travel $202.50 <br />Hotel $0.00 <br />Salary 0.00 <br />Total $702.50 <br />The expense of training/travel may be subject to reimbursement by the employee if they <br />leave employment within a specific period of time following the event. (Select one). <br />® Employee reimbursement for training does not apply in this situation. <br />❑ A "Training Reimbursement Agreement" is attached. <br />Signed this day of <br />Approved <br />(31' Departnt Hedd Signature <br />This request approved by the Board of County Commissioners on this day of <br />Chairman <br />Commissioner <br />Commissioner <br />Distribution of form: <br />1. origina# sent to Commissioners for approval <br />2. Signed copy returned to Department <br />3. Copy must be attached to travel reimbursement request, hotel bill or registration form <br />