Training Reimbursement Request

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Clear Form
Commission on
State of California - Department of Justice
Peace Officer Standards and Training (POST)
TRAINING REIMBURSEMENT REQUEST
860 Stillwater Road, Suite 100
POST AUTOMATED REIMBURSEMENT SYSTEM
West Sacramento, CA 95605-1630
POST 2–273 (05/2010) Page 1 of 2
See Instructions
This form must be completed by a participating reimbursable agency to request reimbursement for employee(s) attending a POST-certified
course. A separate form must be completed for each course attended.
THIS FORM MUST BE PRESENTED TO THE COURSE COORDINATOR/INSTRUCTOR ON OR BEFORE THE FIRST DAY OF TRAINING.
A. AGENCY
C. COURSE CONTROL NUMBER
B. CERTIFIED COURSE TITLE
D. COURSE PRESENTATION DATES
START:
END:
Fully complete this section - Click each note for details.
E.
G. TRAINEE STATUS H.
I.
K.
ALLOWANCE
L.
M.
N.
J. TRANS-
PORTATION
REQUESTED
NAME OF TRAINEE(S)
STATION
ASSIGNED
POST ID NUMBER
BACK-FILL
OTHER THAN
HOURLY
(LAST)
(FIRST)
(M.I.)
(OR SSN)
SALARY
HEADQUARTERS
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
I attest that I am a duly authorized official of the herein-named agency requesting reimbursement. To the best of my knowledge, the information presented is true
and correct and in conformance with Commission Regulations. Each trainee for whom reimbursement is requested will attend the POST-certified course named
above in an on-duty status, and each trainee listed is a full-time paid employee of the named agency. Back-fill costs will be incurred as noted in columns L & M.
This agency will pay expenses for subsistence, commuter lunch, travel, and tuition associated with the course, as requested for each trainee listed on this form.
I also attest that each non-peace officer for whom reimbursement is requested is performing police tasks related to the course.
O. SIGNATURE AND TITLE OF AUTHORIZED OFFICIAL
P. PRINT NAME OF PERSON COMPLETING FORM
R. DATE
Q. CONTACT NUMBER
(
)
FOR POST USE ONLY
COMMENT
AGENCY CONTACTED
AMOUNT PAYABLE
YES
NO
Instructions on Page 2

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