ࡱ> Root EntryINMOOFMR (bw FormV6.0pԟ`BlobPoolpԟ`DatabaseV1.0pԟw   !"#$%&'()*+,-./0123456789:=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~Root EntryINMOOFMR (b`@ FormV6.0pԟ`BlobPoolpԟ`DatabaseV1.0 pԟ`   !"#$%&'()*+,-./0123456789:=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~Embedding 1 3L@3``LocaleID Password RoutingSlip SerialNumbersSharingInformation& SubmitInformation$ SummaryInformation(L  !"#$%&'(*-/Oh+'Oh+'0 HThp72 OmniForm)Claim For General Education ReimbursmentDSBKDO NOT DELETE. THIS AREA RESERVED FOR DATA SYSTEMS BUREAU VERSION CONTROL: '< FillText7= FillText9> FillText10? FillText11@ FillText12A FillText13B FillText14C FillText15D FillText16F FillText18G FillText19H FillText20I FillText21J FillText22K FillText23L FillText24M FillText25N FillText26OOle 0CompObj .XOlePres000xPerfectOffice_MAIN&<PerfectOffice_OBJECTS,``Attachmentspԟ`Nodes Header NodeInfoSortInfoClientInfoRecordInfoFieldInfo Header,LOLEObjects+=Page1 )}Page2 Q FillText27P FillText28Q FillText29R FillText30S FillText31T FillText32U FillText33V FillText34W FillText35X FillText36Y FillText37Z FillText38[ FillText39a FillText45] FillText41_ FillText43\ FillText40^ FillText42` FillText44e CHECK BOXfGroup1(gCheckBox1: (\KhC6d# Embedding 1 CCntrItem66'4$E[g g Arialrogram Files\" 3L@3WordPerfect 12 DocumentWP12Doc9q\KhC;- id p?'!SSSS ,6COUNTY OF LOS ANGELES - SHERIFF'S DEPARTMENTe w; , Ig!SSSS )3CLAIM FOR GENERAL EDUCATION REIMBURSEMENTԔ=LAc ) Q,}Ԕ !SSSS  CLAIMANT-  ['< =  mo  mo  G FillText7 <l9 l9   Y& FillText9 =l9 l9 ['Table5J mo FillText10>l9 l9  G !SSSS > Y& !SSSS >mo !SSSS >yG 'yRG pyuG -ȚP  !SSSS  Name Ț  !SSSS  Payroll TitleK/`OM M  Ĝ]$  !SSSS  First: ڑĜK  !SSSS  Last: #I -I  ( ['<b !=b ' mob "+mob #=b FillText11?l9 l9  $mob FillText12@l9 l9 !%=b !SSSS >"&mob !SSSS >#AR $pAu )BEh  !SSSS  Social Security No. *M.}h  !SSSS  Employee No.'׹nD (/׹[|  6, ['b<* /-+=b* 5.,bmo* 09-mob* ,1=b* FillText13Al9 l9  .2mob* FillText14Bl9 l9 /3=b* !SSSS >04mob* !SSSS >1 R 2p u -7T8_0  !SSSS   Location of Assignment +8M.TH[0  !SSSS  Division5] 6/Y  D:.['*< =;9=* C<:*mo >;mo* :?=* FillText15C l9 l9  <@mo* FillText16D l9 l9 =A=* !SSSS >>Bmo* !SSSS >?R @pu ;E  !SSSS  Phone 9FM. z  !SSSS  Bus. AddressCg D/gx HQ,> U !SSSS gs COURSE  (Two classes per semester/quarter; Maximum four classes per fiscal year (July 1 through June 30)G-7@0S g'T=p M=T̖p FillText18L Fl9 l9 ̖Tafp NbfTp FillText19]JGl9 l9 JO=T̖p !SSSS >LPbfTp !SSSS >M_yqo Ng_qo RM.[Um !SSSS SchoolQ/^UT'k  TB\cn  !SSSS ) Term/Start & End Date of CourseSh]Xbk ]^V'p=]_WU=p̖]sXV̖p*]`YW*p?1]aZX?1pf]b[Yfpi]c\Zip]dw[pU'pTable6LUn'p= Ve=p̖ FillText20Hl9 l9  Xf*p?1 FillText21Il9 l9 Yq?1pf Zgfpi FillText22Jl9 l9 [mip \hp FillText23Kl9 l9 _i=p̖ !SSSS >`j*p?1 !SSSS >bkfpi !SSSS >dlp !SSSS >eyÚ f}/Ú ghÚ hJÚ [oc[w  !SSSS  Grade Up^-ws  !SSSS  Course Titlemy: nK/yq: Yra8 xJV  !SSSS  Unitsq9UyT  Wtui_x;  !SSSS  Coursesy  Wvsq  !SSSS   No.u ]x\'=]yw=̖]zx̖*]{y*?1]|z?1f]}{fi]~|i]}w'= x=̖ FillText24Ll9 l9  z*?1 FillText25Ml9 l9 {?1f |fi FillText26Nl9 l9 }i ~ FillText27Ol9 l9 =̖ !SSSS >*?1 !SSSS >fi !SSSS > !SSSS >y }/ h J w- s  !SSSS  Course Title.Tq }]Y9  !SSSS  Grade  {8JV  !SSSS  Units yi  !SSSS  Course9T7 7  yp  !SSSS   No.߳  Q, !SSSS &0 FOR SEMINAR AND INSTITUTE EXPENSE ONLY-;4 &['WtW$kt$kW|t|Wt['WNTable7] .y  !SSSS  Amount M.Dy  !SSSS  Date krXy  !SSSS *4 Description of Expense (Itemize in Detail)C" /" sW" * /ZP  !SSSS #- Description of Seminar or Institute=Ow #['s3s$k3$ks|3|s3 ['s3 FillText28Pl9 l9  s$k3 FillText29Ql9 l9  $ks|3 FillText30Rl9 l9  |s3 FillText31Sl9 l9 ['s3 !SSSS >s$k3 !SSSS >$ks|3 !SSSS >|s3 !SSSS >(o"=2 ;o"i=2 wlo"U{=2 }o"q=2 ['3N3$kN$k3|N|3N ['3N FillText32Tl9 l9  3$kN FillText33Ul9 l9  $k3|N FillText34Vl9 l9  |3N FillText35Wl9 l9 ['3N !SSSS >3$kN !SSSS >$k3|N !SSSS >|3N !SSSS >(<L ;<iL wl<U{L }<qL ,mXC !SSSS  FEESN.oW. (.-ww}} `w FillText36Xl9 l9  # FillText37Yl9 l9 (պTable8`w !SSSS ># !SSSS >%e %e -U  !SSSS  TuitionK/-Sg  g  !SSSS  Books֋x  !e  !SSSS   $ de  !SSSS   $mԌa  Ԍ (.պ-wպw}պ}պ xպ FillText38Zl9 l9  $պ FillText39[l9 l9 xպ !SSSS >$պ !SSSS >$ W% -V۷  !SSSS   Seminars or Institutes ۷  !SSSS  Required SuppliesK/J J  Q "-  !SSSS   $ Q-  !SSSS   $m ֶ fֶ (պ CH@ !SSSS !+ TOTAL AMOUNT TO BE REIMBURSED - $}MGv ! o FillText40\l9 l9  Q,W' FillText41]l9 l9   FillText42^l9 l9  W'| FillText43_l9 l9 o !SSSS >Q,W' !SSSS > !ISSS >W'| !ISSS >›lY: -l&: l: -lz: 7  !SSSS Dateh 3q  - Ig !SSSS Date o eig !SSSS Fiscal Administration + g  !SSSS  Signature of Employee/ 6H › h ,   o6H !SSSS /9INDICATE IF YOU HAVE SUBMITTED PREVIOUS CLAIMS:›p9F / ;/=9h SSSS }1. Complete, Sign and Date the Claim.2. Attach the tuition and original book receipts. 3. Attach a copy of your grade report.*0;wH % NTL}j^ !SSSS  NO U#Ow|[   L&^ !SSSS  YES xOW%\  ;/eVv !SSSS 0>4. Incomplete packets will be returned to sender 0gTQt 0 o̒~<A !SSSS  DATE RECEIVED:›7+;ĩ  @Gױ! FillText44&`l9 l9 @Gױ! !SSSS >dAΤ /4Oz = SSSS EDUCATIONAL REIMBURSEMENT COORDINATOR Sheriff HeadquartersFiscal Administration General Accounting Unit4700 Ramona Blvd., #314Monterey Park, California 9175457 & I] b FillText45al9 l9 ;[FillText36] [FillText38] [FillText37] [FillText39]I] b ```` >?K4  *0Xe &+5t -5h  ;/yZ|%```` >>Do you claim reimbursement for these costs through scholarship0 zŞ > ;/ů```` **grant, financial aid or veterans benefits?0e * N CheckBox1&! CheckBox10/&<N CheckBox4& CheckBox40 #@*```` YES"(4  %C]```` NO$[EM\4 &<N CHECK BOX)el9 l9  DN Z CheckBox5)( CheckBox10DNiPZ CheckBox6) CheckBox40DNiPZGroup1&fl9 l9 '0_JW 2,5V --+5 ,5+ WPC{b 4tc^#yl d ?KJTU#HgỚj"a'MʇF20:^5|.LJ%q3hB#F޶hv.Z(dce?oֱ4 ,X8]AEە6CڼHvyYJ! 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H  ,#sX X%s&a ##XXXsX a #L  M  &' %XXs&a% %&'#sX X%s&am##XXXsX #L  M  RXXXX"e" E188d@ HPX "88XERXRXrOR  e%2P3  rOrORrORRrOR    #rO#L  M  sGi s&a% sGiTUITION/ENROLLMENT/BOOKS/LABFEES #sGi %s&a8## sGi#L  M  sGi s&a% sGi:Reimbursementislimitedto$500perclass,twoclassesperquarteror 0 semester,andfourclassesperfiscalyear#sGi %s&a## sGi#L  M  sGi s&a% sGi,(books&labfeesincluded)#sGi %s&a## sGi#L  M  sGi s&a% sGiԀfromanaccreditedcollege#sGi %s&a## sGi#L  M  sGi s&a% sGi;#sGi %s&a## sGie#L  M  sGi s&a% sGiԀ#sGi %s&a## sGi#L  M  sGi s&a% sGiR#sGi %s&a## sGi#L  M  sGi s&a% sGieceipts#sGi %s&aO## sGi0#L  M  sGi s&a% sGimustbesubmitted.*  Textbooks#sGi %s&a## sGi#L  M  sGi s&a% sGirequired #sGi %s&a## sGi#L  M  sGi s&a% sGiԀforclasswillbereimbursedwithalegibleitemizedreceipt.#sGi %s&af## sGiG#L  M  sGi s&a% sGiԀThemaximumreimbursementperfiscalyear   (July1#sGi %s&a=#s&a% sGi!June30)foranyemployee#sGi %s&a## sGi#L  M  sGi s&a% sGishallnotexceed#sGi %s&a## sGid#L  M  sGi s&a% sGi$2,000#sGi %s&a,## sGi #L  M  sGi s&a% sGi.#sGi %s&a## sGi#L  M  sGi s&a% sGiNOTE#sGi %s&ah## sGiI#L  M  sGi s&a% sGi: #sGi %s&a## sGi#L  M  sGi s&a% sGiԀRegistration,parking,healthfees,shipp#sGi %s&a## sGi#L  M  sGi s&a% sGiingandhandling,    taxesontext#sGi %s&ab## sGiC#L  M  sGi s&a% sGibooks,etc.#sGi %s&a-## sGi#L  M  sGi s&a% sGiarenot #sGi %s&a## sGi#L  M  sGi s&a% sGiԀreimbursable#sGi %s&a| ## sGi] #L  M  sGi s&a% sGi.#sGi %s&a$!## sGi!#L  M  sGi s&a% sGiԀ #sGi %s&a!## sGi!#L  M  &' %s&a% %&'e%݌ X  ЌsX X%s&aRXXXsX $ 88X88,X$   #RXRXA"##R`"#B.88@ HPX "88XBL  M  &' %s&a% %&'#sGi %s&a### sGi$#L  M  XXRXXXX"e" E188d@ HPX "88XERXRXrOR  e$2P3  rOrORrORRrOR    #rOrO$##rO$#L  M  sGi s&a% sGiREQUIREDLABOROTHERCLASSSUPPLIES #sGi %s&a&## sGi&#L  M  sGi s&a% sGi:Aclasssyllabusorinstructorslistofitemsrequiredtopurchaseforthe  B  classmustbesubmittedalongwithalegiblereceipt.*#sGi %s&a'## sGi'#L  M  sGi s&a% sGiNOTE #sGi %s&a(## sGi(#L  M  sGi s&a% sGi:Cameras,computers,andcalculators,etc.#sGi %s&a)## sGil)#L  M  sGi s&a% sGiarenot #sGi %s&aV*## sGi7*#L  M  sGi s&a% sGiԀreimbursable.e$%݌    ЌsX X%s&aRXXXsX $ 88X88,X$   #RXRX*##R*#B.88@ HPX "88XBL  M  &' %s&a% %&'#sGi %s&a,## sGi,#L  M  XXRXXXX"e" E188d@ HPX "88XERXRXrOR  eh-2P3  rOrORrORRrOR    #rOrO*-##rOI-#L  M  sGi s&a% sGiGRADE #sGi %s&a/## sGi/#L  M  sGi s&a% sGi:Reportofagrade#sGi %s&aA0#s&a% sGi C#sGi %s&a0#s&a% sGiorhighermustbesubmittedwiththeclaim.eh-\.݌   ЌsX X%s&aRXXXsX $ 88X88,X$   #RXRX0##R"0#B.88@ HPX "88XBL  M  &' %s&a% %&'#sGi %s&a2## sGi2#L  M  XXRXXXX"e" E188d@ HPX "88XERXRXrOR  em32P3  rOrORrORRrOR    #rOrO/3##rON3#L  M  sGi s&a% sGiE.#sGi %s&a5## sGi5#L  M  sGi s&a% sGiM.T.,FINGERPRINTSEMINARS #sGi %s&a=6## sGi6#L  M  sGi s&a% sGi:Musthavereceipts*andcertificateofcompletion.em3a4݌ Bz ЌsX X%s&aRXXXsX $ 88X88,X$   #RXRX6##R6#B.88@ HPX "88XBL  M  &' %s&a% %&'#sGi %s&a8## sGi8#L  M  XXRXXXX"e" E188d@ HPX "88XERXRXrOR  e92P3  rOrORrORRrOR    #rOrOK9##rOj9#L  M  sGi s&a% sGiIfanemployee#sGi %s&a;## sGi;#L  M  sGi s&a% sGiTERMINATES #sGi %s&ac<## sGiD<#L  M  sGi s&a% sGiԀhisorhercountyemploymentwithinoneyearofthedateofcompletionofthecourse(except * inthecaseofretirement)forwhichheorshehasbeenreimbursed,heorsheshallreturntheamountofsuchreimbursement  and/ortextbookstothecounty.e9}:݌  ЌsX X%s&aRXXXsX $ 88X88,X$   #RXRX=##R<#B.88@ HPX "88XBL  M  &' %s&a% %&' #sGi %s&a?## sGi?# X?+ @ HPX "88X?L  M  sGi s&a% sGi*RECEIPTS: #sGi %s&a@## sGi@#L  M  sGi s&a% sGiԀCanceledchecks#sGi %s&arA## sGiSA#L  M  sGi s&a% sGiwillnot #sGi %s&a"B## sGiB#L  M  sGi s&a% sGiԀbeacceptedasareceiptforreimbursement,#sGi %s&aB## sGiB#L  M  sGi s&a% sGiunless #sGi %s&aC## sGiqC#L  M  sGi s&a% sGiԀaccompaniedbyanitemized R legiblecashier#sGi %s&a1D#s&a% sGisreceiptfromtheschool,bookstore,etc.Creditcardpaymentreceipts#sGi %s&aD## sGiD#L  M  sGi s&a% sGiwillnot #sGi %s&aE## sGi~E#L  M  sGi s&a% sGiԀbeaccepted#sGi %s&aCF## sGi$F#L  M  sGi s&a% sGiunless #sGi %s&aF## sGiF#L  M  sGi s&a% sGi *b accompaniedbytheschool#sGi %s&aG#s&a% sGisbillingform,detailingtheamountoftuition,books,etc.Internetreceiptsfortextbookswillbe : acceptedasareceipt.Textbookspurchasedfromaprivateparty#sGi %s&aG## sGimG#L  M  sGi s&a% sGiwillnot #sGi %s&aXI## sGi9I#L  M  sGi s&a% sGiԀbereimbursed.  #sGi %s&aI## sGiI#L  M  s   #sGi sܛJ## sGiJ# XB.88@ HPX "XBL  M  XXsX XXX#sGi XsX K## sGiK#R&    U    B.88@ HPX "88XBRXXRRXXXRX    #XXXRX+L#UbL  L  M  L  M  sX XXXPROCEDURESFORSUBMISSIONUbLVM MԌ v Ќ  sGi XsX R sGi   88X88X   #RȝM#  L  M  L  M  s'JL#sGi sN## sGiO#L  M   Pd(00oefghijklm/ /XXsX XXX""  P2  1  .3  Ԁ  #sGi XsX YP## sGixP#sGi L  M  sX X sGiCompleteCLAIMFORGENERALEDUCATIONREIMBURSEMENT#sGi XsX Q#sX X sGiԀsign,date,andsendtheoriginal.PP݌ p  Ќ    ""  R2  2  .3  Ԁ  #sGi XsX R## sGiYQ#RL  M  RXXRAttachappropriatereceipt(s)#RXRX~S#RXXR!originalRR݌ \! Ќ  #RXRXS##RKS#RL  M  ""    T2  3  .3  Ԁ  #RȊT#sGi L  M  sX X sGiAttachaL  M  #sGi XsX U#sX X sGicopyL  M  #sGi XsX U#sX X sGiԀofyourgradereportorcertificateofcompletion.Keeptheoriginalforyourrecords.TT݌ J" Ќ  #sGi XsX ZV## sGihU#B.88@ HPX "88XBL  M  XXsX XXX#sGi XsX W## sGiW# ,  B.dd@ HPX "88XBL  M  sGi sX X sGiEDUCATIONALREIMBURSEMENTCOORDINATOR !F %   #sGi XsX X#sX X sGiSheriffHeadquarters !2!& #sGi XsX DY#sX X sGiFiscalAdministrationGeneralAccountingUnit ""' #sGi XsX Y#sX X sGi4700RamonaBlvd.,#314 # #( #sGi XsX 3Z#sX X sGiMontereyPark#sGi XsX Z#sX X sGi,#sGi XsX Z#sX X sGiCalifornia#sGi XsX 4[#sX X sGiԀ#sGi XsX [#sX X sGi91754 $#) #sGi XsX [#sX X sGiTHISFORMISNOWLOCATEDINMICROSOFTOUTLOOK,PUBLICFOLDER,ALLFORMS '&,   #sGi XsX !\## sGiX#L  M  XXsX XXX_#sGi XsX ]#sX X sGiQUESTIONS? Z)(.   #sGi XsX ]#sX X sGiCALLEDUCATIONREIMBURSEMENTCOORDINATOR F*~)/ #sGi XsX ]#sX X sGiԀ(323)526#sGi XsX r^#sX X sGi5290 2+j*0 #sGi XsX ^#sX X sGiԀ ,V+1   -B,2 Ї  #sGi XsX _## sGi3]#RL  M  RXXRԀ    #RXRX_##Rȹ_#        !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~      !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~      !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~$E[6  +  &WordPerfect 6.1  z . "Arial Narrowww 0wf -92 !EDUCATIONAL REIMBURSEMENT PROGRAM     "Systemf &T-+@ (W#$$+@ (W#$5"Arial Narrowww 0wf -*2 All permanent employees   6655-"Arial Narrowww 0wf -2  of the Sheriff5--~2 Os Department are eligible for reimbursement subject to the following criteria:    5Z-FVSymbolT ww 0wf - 2 V-V-2 Applications VY-- 2 must Vu--d2 > be submitted within one year of the start date of a course.  V-+@ J(W#$g-2 QApplications received after one year will be denied and returned to the employee. g-+@ [(W#$x- 2 --B2 'TUITION / ENROLLMENT / BOOKS / LAB FEESR      --s2 H: Reimbursement is limited to $500 per class, two classes per quarter or    -+@ |(W#$-F2 *semester, and four classes per fiscal year --32 , (books & lab fees included)j--02  from an accredited colleged -- 2 ;-- 2  -- 2 R--2 eceipts ,--%2 must be submitted.*  --2 Textbooks 9--2 required9hhh--f2 ? for class will be reimbursed with a legible itemized receipt.     --F2 * The maximum reimbursement per fiscal year     --2 (July 1 &--12  June 30) for any employee  --!2 shall not exceed --2 $2,000>>>-- 2 . tG-- 2 NOTE g-- 2 :k--F2 * Registration, parking, health fees, shipp ;--!2 ing and handling,--2 taxes on textB--2 books, etc. ~--2 are not~--2 reimbursable -"Arial Narrowww 0wf - 2 .-"Arial Narrowww 0wf - 2  -+@ (W#$- 2  --=2 $REQUIRED LAB OR OTHER CLASS SUPPLIES       --{2 M: A class syllabus or instructors list of items required to purchase for the -+@ (W#$-[2 8class must be submitted along with a legible receipt.*   -- 2 NOTE 8--K2 -: Cameras, computers, and calculators, etc.   --2 are notEEE--2  reimbursable. - +@ (W#$- 2  --2 GRADE AAA--%2 : Report of a grade -- 2 C--K2 - or higher must be submitted with the claim.   -+@ (W#$/+@ #(W#$?- 2 C?-?- 2 E.@@"?"?"--.2 M.T., FINGERPRINT SEMINARS      @"@??--W2 5: Must have receipts* and certificate of completion.  ?-+@ 3(W#$P+@ D(W#$`- 2 .`-`-2 If an employee  `g--2 TERMINATES  `--2 ] his or her county employment within one year of the date of completion of the course (except   `-+@ T(W#$q-2 {in the case of retirement) for which he or she has been reimbursed, he or she shall return the amount of such reimbursement     q--62 and/or textbooks to the county.-+@ (W#$-2 *RECEIPTS:XXX--"2  Canceled checks --2 will not --K2 - be accepted as a receipt for reimbursement,   --2 unless--02  accompanied by an itemized   -+@ (W#$.-2 legible cashiery--v2 Js receipt from the school, bookstore, etc. Credit card payment receipts   --2 will not --2 be accepted Y--2 unless~-.--2 accompanied by the schoolS --2 es billing form, detailing the amount of tuition, books, etc. Internet receipts for textbooks will be   -.-i2 Aaccepted as a receipt. Textbooks purchased from a private party  --2 will not --2  be reimbursed. -+@ (W#$ "Arial Narrowww 0wf --2 PROCEDURES FOR SUBMISSIONS          -+@ (W#$+@ (W#$0- 2 1. ^0--U2 4Complete CLAIM FOR GENERAL EDUCATION REIMBURSEMENT -               0--<2 # sign, date, and send the original.S0P-B- 2 2. ^B-Times New Romanww 0wf -42 Attach appropriate receipt(s) B--2 original dB-TTimes New Romanww 0wf - 2 3. T --2 Attach a : T?-- 2 copyU?UZTZTZ--2 X of your grade report or certificate of completion. Keep the original for your records.  T.-g+@ [(W#$y-@2 &EDUCATIONAL REIMBURSEMENT COORDINATOR         -+@ (W#$ -%2 Sheriff Headquarters  --K2 -Fiscal Administration General Accounting Unit     --*2 4700 Ramona Blvd., #314   --2 Monterey Park R-- 2 , Y--2 California -- 2  --2 91754-ZZ R-r2 GTHIS FORM IS NOW LOCATED IN MICROSOFT OUTLOOK, PUBLIC FOLDER, ALL FORMSr                    c-Z.2-2 QUESTIONS?   .-@-C2 (CALL EDUCATION REIMBURSEMENT COORDINATOR         @-S--2 (323) 526-rSk-- 2 5290S-eY- 2  e\-wZ-92 !EDUCATIONAL REIMBURSEMENT PROGRAM     -+@ (W#$$+@ (W#$5-*2 All permanent employees   6655--2  of the Sheriff5--~2 Os Department are eligible for reimbursement subject to the following criteria:    5Z-FV- 2  V-V-2 Applications VY-- 2 must Vu--d2 > be submitted within one year of the start date of a course.  V-+@ J(W#$g-2 QApplications received after one year will be denied and returned to the employee. g-+@ [(W#$x- 2  --B2 'TUITION / ENROLLMENT / BOOKS / LAB FEESR      --s2 H: Reimbursement is limited to $500 per class, two classes per quarter or    -+@ |(W#$-F2 *semester, and four classes per fiscal year --32 , (books & lab fees included)j--02  from an accredited colleged -- 2 ; -- 2  -- 2 R --2 eceipts ,--%2 must be submitted.*  --2 Textbooks 9--2 required9hhh--f2 ? for class will be reimbursed with a legible itemized receipt.     --F2 * The maximum reimbursement per fiscal year     --2 (July 1 &--12  June 30) for any employee  --!2 shall not exceed --2 $2,000>>>-- 2 . tG-- 2 NOTE g-- 2 : k--F2 * Registration, parking, health fees, shipp ;--!2 ing and handling, --2 taxes on textB--2 books, etc. ~--2 are not~--2 reimbursable -- 2 . -- 2  -+@ (W#$- 2  --=2 $REQUIRED LAB OR OTHER CLASS SUPPLIES       --{2 M: A class syllabus or instructors list of items required to purchase for the -+@ (W#$-[2 8class must be submitted along with a legible receipt.*   -- 2 NOTE 8--K2 -: Cameras, computers, and calculators, etc.   --2 are notEEE--2  reimbursable. - +@ (W#$- 2  --2 GRADE AAA--%2 : Report of a grade -- 2 C--K2 - or higher must be submitted with the claim.   -+@ (W#$/+@ #(W#$?- 2 C?-?- 2 E.@@"?"?"--.2 M.T., FINGERPRINT SEMINARS      @"@??--W2 5: Must have receipts* and certificate of completion.  ?-+@ 3(W#$P+@ D(W#$`- 2 .`-`-2 If an employee  `g--2 TERMINATES  `--2 ] his or her county employment within one year of the date of completion of the course (except   `-+@ T(W#$q-2 {in the case of retirement) for which he or she has been reimbursed, he or she shall return the amount of such reimbursement     q--62 and/or textbooks to the county.-+@ (W#$-2 *RECEIPTS:XXX--"2  Canceled checks --2 will not --K2 - be accepted as a receipt for reimbursement,   --2 unless--02  accompanied by an itemized   -+@ (W#$.-2 legible cashiery--v2 Js receipt from the school, bookstore, etc. Credit card payment receipts   --2 will not --2 be accepted Y--2 unless~-.--2 accompanied by the schoolS --2 es billing form, detailing the amount of tuition, books, etc. Internet receipts for textbooks will be   -.-i2 Aaccepted as a receipt. Textbooks purchased from a private party  --2 will not --2  be reimbursed. -+@ (W#$ --2 PROCEDURES FOR SUBMISSIONS          -+@ (W#$+@ (W#$NANISerialNumbers SharingInformation& SubmitInformation$ SummaryInformation(L    !"#$%&'(*-/Embedding 1 3L@3``LocaleID Password RoutingSlip  '< FillText7= FillText9> FillText10? FillText11@ FillText12A FillText13B FillText14C FillText15D FillText16F FillText18G FillText19H FillText20I FillText21J FillText22K FillText23L FillText24M FillText25N FillText26OgCheckBox1: (\KhC6d# Embedding 1 CCntrItem66'4$E[g g Arialrogram Files\" 3L@3WordPerfect 12 DocumentWP12Doc9q FillText27P FillText28Q FillText29R FillText30S FillText31T FillText32U FillText33V FillText34W FillText35X FillText36Y FillText37Z FillText38[ FillText39a FillText45] FillText41_ FillText43\ FillText40^ FillText42` FillText44e CHECK BOXfGroup1(NodeInfoSortInfoClientInfo10RecordInfo