Form Taa-1029a - Exception To Cost Limit

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ARIZONA DEPARTMENT OF ECONOMIC SECURITY
TAA-1029A FORFF (12-17)
Workforce Development Administration (WDA)
Trade Adjustment Assistance (TAA) Program
EXCEPTION TO COST LIMIT
TAA staff must complete and include this form in the Training Packet ONLY when the cost of the original proposed training exceeds the
soft cap of $20,000.
PARTICIPANT NAME
DATE
TAA REPRESENTATIVE
PARTICIPANT ID
TRAINING COSTS
Cost of Original Proposed Training $
Start Date
End Date
Name of School/Training Provider
Training Program
Additional Cost Exceeding Soft Cap Amount $
Additional Cost if Revising $
Original Plus Additional Cost $
JUSTIFICATION FOR EXCEPTION
Provide justification why this request should be approved and how it will benefit the participant:
TAA Representative Signature
DATE
DETERMINATION
Exception Approved
Exception Denied
Reason for Denial:
TAA Staff Name
TAA Staff Signature
DATE
Original to participant file; copy to
EATAARegion@azdes.gov
See reverse for EOE/ADA/LEP/GINA disclosures

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