2018 DVAMC CRIP REIMBURSEMENT POLICY
|
|
- Phyllis Stafford
- 5 years ago
- Views:
Transcription
1 aacpm American Assciatin f Clleges f Pdiatric Medicine Crabbs Branch Way, Suite 320 Rckville, Maryland Fax: DVAMC CRIP REIMBURSEMENT POLICY The DVA Reimbursement Prgram was develped in 1988 after a ruling by the Veterans Administratin General Cunsel that the cllectin f fees by Veterans Administratin Medical Center Pdiatric Residency Prgrams was illegal. The DVA reimbursement prgram was created by AACPM t allw DVA Medical Center prgrams t participate in the Centralized Residency Interview Prgram (CRIP) by cvering the basic travel csts fr up t tw* interviewers frm a DVA Medical Center t attend CRIP. READ CAREFULLY Eligibility: DVA prgrams wishing t participate in the CRIP Reimbursement Prgram must be an entry-level pdiatric residency prgram participating in the 2018 CASPR Prgram and a member f the Cuncil f Teaching Hspitals (COTH). Applying fr the Reimbursement Prgram: A DVA prgram wishing t participate: 1. Must have their prgram directr and administratr certify n the Estimated Expenses fr Prir Apprval frm that there are n ther funds available t cver CRIP interview expenses. 2. Must submit the cmpleted Estimated Expenses fr Prir Apprval frm t AACPM by Friday, Octber 13, Reimbursement is limited t a maximum f tw peple frm each prgram prvided mre than twelve interviewees are scheduled. If twelve r fewer interviewees are scheduled, reimbursement is limited t ONE interviewer. This is the ne interviewer nly restrictin. 3. Must nt make travel arrangements until yu have spken with staff and received yur letter f apprval frm AACPM! 4. Must cmplete the Scheduling Questinnaire and Accmmdatin Request frms n CASPRweb.rg. DVA prgrams MUST hld the majrity f their initial interviews either n Thursday, January 11 r Tuesday, January 16 depending n yur assigned sectin fr CRIP. Once the abve requirements are met, staff will cntact yu t reslve any questins frm ur review f yur Scheduling Questinnaire and Accmmdatin Request frms. Once yu have received the letter frm AACPM authrizing yur travel and specifying yur apprved expenses, yu may make yur travel arrangements. Airfare must be purchased at least twenty-ne days in advance. REMEMBER: As yu travel and attend CRIP, retain receipts fr any expense t be reimbursed.
2 Getting Reimbursed After CRIP: 1. AACPM staff will request that yu submit yur actual expenses fr reimbursement. Yu must submit: a) An electrnic cpy f yur signed Actual Expenses fr Reimbursement frm and all required dcumentatin/receipts (PDF) r, b) Mail yur signed Travel Expense Reprt and all receipts/dcumentatin. 2. All requests fr reimbursement must be received by AACPM n later than February 1, Any request received mre than seven (7) business days after this deadline will nt be hnred. 3. Payment is made after all expense reprts frm all participating DVAs are received and checked against the CRIP htel bill and the reimbursement plicy. Generally the reimbursement checks are issued in late February. Actual expenses may nt exceed budgeted amunts by mre than five percent (5%). NO EXPENSE IS REIMBURSED WITHOUT A RECEIPT. Receipt cpies prvided with credit card statements are NOT acceptable. Cpies f E-Tickets fr airfare shwing the date the reservatin was made and the amunt are acceptable. Yu are respnsible fr verifying that an expense is reimbursable and meets the requirements f the AACPM DVA CRIP Reimbursement prgram. REIMBURSABLE EXPENSES & REQUIRED DOCUMENTATION AIRFARE: Up t tw* rund-trip cach air tickets. All tickets must be purchased a minimum f TWENTY-ONE (21) DAYS in advance. Any exceptins t this plicy must be apprved prir t purchase. Required dcumentatin: An itinerary verifying the ticket purchase date. TRANSPORTATION TO and FROM HOME AIRPORT: Transprtatin t and frm yur hme airprt is reimbursed and, if by persnal vehicle, paid at the IRS standard mileage rates fr business use f a car. N receipt is required fr use f persnal vehicle. HOME AIRPORT PARKING: Original receipt is required fr parking fees. AIRPORT TRANSPORTATION: Maximum f $140 per prgram. Lve Field, a hub fr Suthwest Airlines, and the Dallas/Frt Wrth (DFW) airprts are apprximately 20 miles each way frm the htel. Cab/rideshare fares average $50 - $70 each way. Rides shuld be shared whenever pssible. Original receipt is required. If a car rental is mre ecnmical fr yur team, please cnsider the fllwing: Rental car must be ecnmy r cmpact size r an equivalent cst, Gas purchase beynd the full tank prvided at pickup is NOT reimbursed, Insurance r warrantee cverage ffered by the rental cmpany is NOT reimbursed Outside parking is free at the Embassy Suites, the garage is $10/day selfpark. Valet parking is NOT reimbursed. DAILY MEALS: *Daily meals are reimbursed fr up t tw* peple nt t exceed $70 per persn per day fr a maximum f three days. Reimbursement f daily meals is restricted t the actual day(s) that interviews are scheduled plus hurs arund that perid fr travel.
3 Actual daily meals are reimbursed n riginal receipts submitted and will be the lesser f actual receipts r $70. If multiple peple are listed n a receipt, circle csts that apply t this plicy. LODGING: Htel rm and taxes fr up t three nights ldging fr tw* htel suites at the CRIP designated htel are placed n the AACPM master accunt and paid by AACPM. Internet usage fees are cmplimentary fr interview suites nly. All participants must check ut f sleeping accmmdatins by the nrmal checkut time listed at the htel. AACPM des NOT reimburse any late checkut r day rate fees. Upn checkut frm the htel, cnfirm that all qualifying charges, rm and taxes, have been charged t the AACPM master accunt. Cntact AACPM staff with any questin regarding this. All ther htel rm charges are the respnsibility f the participating residency prgram. TRAVEL TO CRIP BY AUTOMOBILE: Fr thse prgrams nt flying t CRIP, expense fr the use f persnal vehicles is reimbursed at the IRS rate per mile fr business in effect at the time f travel. Tlls shuld be included under autmbile expense. Outside parking is free at the Embassy Suites, the garage is $10/day selfpark. Valet parking is NOT reimbursed. INTERVIEW SPACE: All interviews must take place in ne r bth* htel suites. AACPM des NOT reimburse fr individual meeting rms r scial expenses. * Subject t the ne interviewer nly restrictin.
4 2018 CRIP DVA REIMBURSEMENT PROGRAM ESTIMATED EXPENSES FOR PRIOR APPROVAL RESIDENCY PROGRAM NAME ADDRESS Street City State Zip RESIDENCY DIRECTOR'S NAME PHONE CRIP SECTION WEST Sectin 1 JAN VA Prgrams interview 1/11 EAST Sectin 2 JAN VA Prgrams interview 1/16 Office Use Number f Staff (limit 2) Number f Nights (per persn) Air Fare x # f staff (minimum 21 day advance purchase) Transprtatin t/frm Hme Airprt (IRS rate fr business if driving) Hme Airprt Parking Transprtatin t/frm Htel ($140 per prgram maximum) Daily Meals (receipts required, max. $70/pp/day) Ldging (see plicy) Actual Rund Trip Mileage & Tlls FOR THOSE NOT FLYING Ttal Estimated Csts: CERTIFICATION: By submitting this budget request, I attest that we have pursued ther funding surces and that there are n ther funds available fr ur participatin in the CRIP prgram. Residency Prgram Directr: Hspital Directr r Chief f Educatin: BOTH SIGNATURES REQUIRED RETURN THIS FORM TO AACPM NO LATER THAN OCTOBER 13, Cmpleted frms may be faxed t r ed t sclaffey@aacpm.rg
5 2018 CRIP DVA REIMBURSEMENT PROGRAM ACTUAL EXPENSES FOR REIMBURSEMENT RESIDENCY PROGRAM NAME ADDRESS Street City State Zip RESIDENCY DIRECTOR'S NAME PHONE NUMBER ADDRESS CRIP SECTION WEST Sectin 1 JAN VA Prgrams interview 1/11 EAST Sectin 2 JAN VA Prgrams interview 1/16 Office Use Number f Staff (limit 2) Number f Nights (per persn) Air Fare x # f staff (minimum 21 day advance purchase) Transprtatin t/frm hme airprt (IRS rate fr business if driving) Hme Airprt Parking Transprtatin t/frm Htel ($140 per prgram maximum) Daily Meals (receipts required, maximum $70/pp/day) Ldging (see plicy) FOR THOSE NOT FLYING Actual Rund Trip Mileage & Tlls RESIDENCY PROGRAM DIRECTOR S SIGNATURE DATE Ttal Csts: This frm & receipts must be received by AACPM: NO LATER THAN FEBRUARY 8, 2018 AACPM Use Only Apprved Budget: AACPM Master: Reimbursement: Ttal:
Region 5 Student Paper Reimbursement Procedure
Regin 5 Student Paper Reimbursement Prcedure Prcedure fr student cmpetitin awards winners fr receptin f their prize mney frm Regin 5. This includes the prcedure fr Area student papers awards mnies receptin.
More informationRelocation/Moving Procedures for New Employees
Relcatin/Mving Prcedures fr New Emplyees Purpse T prvide guidelines and restrictins regarding thse cases where relcatin csts are necessary fr an individual t accept emplyment with the University and t
More informationCard Holder ACT204. Last Updated 3/11/15
Card Hlder ACT204 Last Updated 3/11/15 Standard Visa Card Allws fr quick and easy reservatins t be made Reduces the amunt f ut f pcket expenses fr the Traveler N Plicies have changed just anther frm f
More informationU.S. Domestic Relocation Summary
U.S. Dmestic Relcatin Summary Fr Internatinal Assignment t United States Career Path Change Mving t the United States January 1, 2015 Human Resurces Shared Services Intrductin This dcument prvides a summary
More informationCDISC Operating Procedure 018 Travel Expenses
CDISC Operating Prcedure 018 Travel Expenses Revisin Histry Date Versin Descriptin Authr 2 April 2012.01 First Draft Shirley Williams Octber 2012 1.0 Final Financial Oversight Cmmittee July 2017 2.0 Update
More informationTravel Procedures for Library Employees
Travel Prcedures fr Library Emplyees BRIEF OVERVIEW OF TRAVEL PROCESS: - Travel request apprved by supervisr - Prepare and submit Travel Authrizatin (must be apprved befre making reservatins) - Bk air
More informationHighlights for 2017 Compliance
Prvided by Natinal Insurance Services, Inc. Highlights fr 2017 Cmpliance The Affrdable Care Act (ACA) has made a number f significant changes t grup health plans since the law was enacted in 2010. Many
More informationSteps toward Retirement
Steps tward Retirement Eligibility, Actin Steps, and Benefit Optins fr Faculty and Staff Nearing Retirement Eligibility fr Official University Retiree Status The fllwing jb types f the University are eligible
More informationCHAPTER 5: TRAVEL 5.1 POLICY
CHAPTER 5: TRAVEL 1. Plicy 2. Travel Authrizatin 3. Travel Advance 4. Allwable Expenses While In Travel Status 5. Nn-Allwable Travel Expenses While in Travel Status 6. Certificatin and Apprval 7. Reimbursement
More informationBCECM Community Project Grant - Program Guidelines and Application Form
BCECM Cmmunity Prject Grant - Prgram Guidelines and Applicatin Frm Bruneau Centre fr Excellence in Chral Music Applicatin Deadline: Mnday, Octber 16, at 5:00 p.m. (NST) Cmmunity Prject Grant Prgram Guidelines
More informationPASSPORT INFORMATION:
Dear Vlunteers, Thank yu fr yur interest in the Kids Arund the Wrld playgrund build trip. We are excited fr the pprtunity t wrk alngside yu t impact the lives f these children. The need there is tremendus
More informationEnding Your Membership in the Plan
Ending Yur Membership in the Plan Yu must be eligible fr a valid disenrllment perid. Yur cverage will end the first day f the mnth after we receive yur request t disenrll. When can yu end yur membership
More informationTWU OFFICE OF RESEARCH & SPONSORED PROGRAMS INSTRUCTIONS FOR USING THE TWU PROPOSAL APPROVAL ROUTING FORM
TWU OFFICE OF RESEARCH & SPONSORED PROGRAMS INSTRUCTIONS FOR USING THE TWU PROPOSAL APPROVAL ROUTING FORM Phne: (940) 898-3375 Website: http://www.twu.edu/research/ WHEN TO SUBMIT THROUGH RESEARCH & SPONSORED
More informationPAYMENT PLAN REQUEST INFORMATION Texas Property Code - Section (Not Applicable for Condominium Associations Governed Under Section 82)
PAYMENT PLAN REQUEST INFORMATION Texas Prperty Cde - Sectin 209.0062 (Nt Applicable fr Cndminium Assciatins Gverned Under Sectin 82) This dcument includes infrmatin regarding a payment plan request in
More informationFoundation Web Invoicing / Expenditure Procedures
Fundatin Web Invicing / Expenditure Prcedures Abut the Hunter Cllege Fundatin Missin Statement The missin f the Hunter Cllege Fundatin (HCF) is t enhance Hunter Cllege's (HC) psitin as a premiere public
More informationInstruction Page. Verification of 2014 Income Information for Individuals with Unusual Circumstances
Instructin Page Imprtant Nte: Please ntify the financial aid ffice if the student r their parents had a change in marital status after the end f the 2014 tax year n December 31, 2014 and als if the parents
More informationInformation Package CAFETERIA 125 PLANS
Infrmatin Package CAFETERIA 125 PLANS Shaffer Insurance Services, Inc. Benefits Divisin 902 E. Ave Q-9 Palmdale Ca. 93550 Tll Free (866) 412-5872 Office Tel (661) 575 9331 Fax (661) 280 2016 Sectin 125
More informationGolf Relief and Assistance Fund Application
Glf Relief and Assistance Fund Applicatin Eligibility The Glf Relief and Assistance Fund is designed t supprt individuals wrking in the glf industry and their husehld family members wh have been impacted
More informationHawaii Division of Financial Institutions 2019 Renewal Checklist
Hawaii Divisin f Financial Institutins 2019 Renewal Checklist Instructins Renewal requests must be submitted thrugh by the date specified by yur state regulatr(s). Click here t review all renewal deadlines,
More informationPolicy on Requesting Reasonable Accommodations from the Zoning Code
Plicy n Requesting Reasnable Accmmdatins frm the Zning Cde Backgrund The Americans with Disabilities Act (ADA), as amended, is a federal anti-discriminatin statute designed t remve barriers that prevent
More informationFinancial Aid Satisfactory Academic Progress Appeal Request Spring 2019 Deadline: January 3, 2019
Financial Aid 2018-2019 Satisfactry Academic Prgress Appeal Request Spring 2019 Deadline: January 3, 2019 Is this yur first appeal? (Currently n Financial Aid Suspensin) Is this yur secnd appeal? (Appeal
More informationMaster s College & Seminary Fee Schedule for
Master s Cllege & Seminary Fee Schedule fr 2018 2019 This frm is als available at http://www.mcs.edu/academics/financing-yur-educatin/current-fee-schedule/ (All fees are in Canadian funds and are subject
More informationVerification Worksheet- V1 DIRECTIONS 2016 INCOME TAX FILER DIRECTIONS:
2018-2019 Verificatin Wrksheet- V1 DIRECTIONS 2016 INCOME Yur applicatin was selected by the U.S. Dept. f Educatin fr review in a prcess called "verificatin". Yu must submit the last 3 pages f this verificatin
More informationAPPLICATION FOR ADMISSION 2019
APPLICATION FOR ADMISSION 2019 APPLICANT INFORMATION Last Name: First Name: Date f Birth: (mnth/day/year) Gender: Male Female Citizenship: Hme Cuntry Address: City: State/Prvince: Pstal Cde: Cuntry: E-mail:
More informationIHCS CLAIMS REFERENCE GUIDE
CLAIMS REFERENCE GUIDE WHERE DO I SUBMIT CLAIMS? Yu will submit the claims fr members directly t at the claims address belw. Electrnic Claims: Direct t Payer ID: 1 Paper Claims: Claims: Address1: City,
More informationCAREVEST MORTGAGE INVESTMENT CORPORATION Directions for Completing Retraction Requests
This package is ONLY fr Class A sharehlders f. Cntents f this package (5 pages): - Instructins fr cmpleting yur retractin request - Retractin Request frm fr CareVest Mrtgage Investment Crpratin The February
More informationAccounts Payable for Classified Personnel Participants
Accunts Payable fr Classified Persnnel Participants Hwie Barber, CPA, MCPPO Schl Business Administratr Greenfield Public Schls February 10, 2016 Accunts Payable fr Classified Persnnel Participants Overview
More informationEPPA Update Issued September 2012 / Updated October, 2012 Defined Benefit Funding Relief Provisions
EPPA Update 12-01 Issued September 2012 / Updated Octber, 2012 Defined Benefit Funding Relief Prvisins - 2012 In respnse t the decline f slvency discunt rates, the Emplyment Pensin Plans (Partial Exemptin
More information8722 S. HARRISON ST. SANDY, UT P.O. BOX 4439 SANDY, UT FAX
8722 S. HARRISON ST. SANDY, UT 84070 P.O. BOX 4439 SANDY, UT 84091 877-678-7342 FAX 800-478-9880 HOT AIR BALLOON PROPOSED EFFECTIVE DATE: A. General Infrmatin Applicant s Name: Applicant s Mailing Address:
More informationCourse and Student Cancellation Policy
Curse and Student Cancellatin Plicy Updated September 3, 2013 What yu ll find in this sectin: I M LOOKING FOR INFORMATION ON SEE PAGES What I need t d if my chapter has t cancel a curse? 3 4 Timing what
More informationEXPENSE REPORT GUIDELINES & PROCEDURES
EXPENSE REPORT GUIDELINES & PROCEDURES All reimbursable expenses are reprted n the website ExpensAble.cm. N alternative r supplemental methds fr reimbursement will be accepted. Cmpany paid expenses, such
More informationFinancial Terms for Service Providers to FWF
FWF financial terms fr service prviders December 2017 Financial Terms fr Service Prviders t FWF This dcument explains the financial terms fr all parties (service prviders) cntracted t wrk fr Fair Wear
More informationInstitute For Orthopaedic Surgery (IOS) Subject: Healthcare Financial Assistance Policy
Institute Fr Orthpaedic Surgery (IOS) Subject: Healthcare Financial Assistance Plicy Plicy and Prcedure Manual Subject: HealthCare Financial Assistance Plicy Purpse: T establish guidelines fr financial
More informationCUTV Production Grant Form
CUTV Prductin Grant Frm 1. APPLICANT IDENTIFICATION Name: Address: Phne: Email: I have carefully read the eligibility criteria fr this prgram, which are described in the applicatin guidelines, and I meet
More informationEdward T. Conroy Memorial Scholarship
Edward T. Cnry Memrial Schlarship Cntact Infrmatin www.twsn.edu/finaid finaid@twsn.edu Edward T. Cnry Memrial Schlarship Prgram prvides financial aid t: Sns and daughters and surviving spuses (wh have
More informationTRAVEL, MEAL AND HOSPITALITY EXPENSE POLICY
Title: TRAVEL, MEAL AND HOSPITALITY EXPENSE POLICY Plicy Number: FIN-0001.02 Plicy Area: FINANCE Plicy Apprved By: Bard f Directrs Effective Date: December 1, 2016 I. Purpse The purpse f this plicy is
More informationEmployee Hardship Assistance Policy
Emplyee Hardship Assistance Plicy Functinal Area: Human Resurces Applies T: All Faculty and Staff Plicy Reference(s): N/A Number: TBD Date Issued: March 4, 2013 Page(s): 6 Respnsible Persn The Directr
More informationVision Service Plan (VSP) New Group Implementation Guide
Visin Service Plan (VSP) New Grup Implementatin Guide Nrth Ranch Benefits Trust (NRBT) Administered by HealthSmart Benefit Slutins, Inc. Agents shuld submit the cmpleted New Grup Implementatin Guide back
More informationParent Guide to Financial Aid
Parent Guide t Financial Aid fr the 2019-20 schl year OVERVIEW AND DEADLINES Welcme t the financial aid applicatin seasn fr the 2019-20 schl year. We recgnize that the applicatin prcess can be stressful
More informationFinance Orientation Accounts Payable. Last Updated: March 2, 2012
Finance Orientatin Accunts Payable Last Updated: March 2, 2012 1 Payments * Vendrs A t K Vendrs L t Z Petty cash reimbursements Travel advances and reimbursements Pint f Cntact Cti Chap Charlene Rbinsn
More informationThe Application is due by Mail: Friday, April 27, 2018 The scholarship applications must be mailed to:
Dear Emma Nylen Schlarship Applicant, Enclsed, yu will find the fllwing: 1) Eligibility Requirements; and 2) Emma Nylen Schlarship Prgram Applicatin Apprximately 20-50 schlarships are prvided thrugh the
More informationRequest for Proposal. For. Unemployment Insurance Services. November 9, 2016
Request fr Prpsal Fr Unemplyment Insurance Services Nvember 9, 2016 I. INTRODUCTION: Opprtunities fr Williamsn and Burnet Cunties invites qualified firms t submit a Statement f Qualificatins t prvide unemplyment
More informationImplementing ABLE: 2016
Implementing ABLE: 2016 Mderatr: Michael Mrris, Executive Directr Natinal Disability Institute (NDI) ablenrc.rg Agenda Slide 2 ABLE Basics and Cre Cmpnents Status f Federal and State Implementatin Ntice
More informationSocial Security Administration
Scial Security Administratin 1329 S. Divisin St. Traverse City MI 49684 September 25, 2018 Clumns & Features Mnthly Infrmatin Package Octber 2018 WORKERS' COMPENSATION AND CERTAIN DISABILITY PAYMENTS MAY
More informationILLINOIS INSTITUTE OF TECHNOLOGY J-1 SCHOLAR REQUEST FORM (TO BE COMPLETED BY THE SCHOLAR)
J-1 SCHOLAR REQUEST FORM (TO BE COMPLETED BY THE SCHOLAR) Please cmplete this frm and return it t yur hst department as sn as pssible s that we may issue yu a DS-2019, which is used when yu apply fr a
More informationCascades Wedding Show January 14 th 2017 Vendor Application
Cascades Wedding Shw January 14 th 2017 Vendr Applicatin Return t: LAY IT OUT EVENTS 704 NW Gergia Ave Bend, OR 97703 Att: Vendr Crdinatr Make Checks payable t: Lay It Out Events Business Name Applicant
More informationUniversity of Oregon Sponsored Projects Services T32 & IGERT Group Training Grant Charge Guidance. Guidance Purpose and Overview
University f Oregn Spnsred Prjects Services T32 & IGERT Grup Training Grant Charge Guidance Guidance Purpse and Overview The University f Oregn (UO) has been awarded multiple spnsred prjects with the intent
More informationREFERENCE NUMBER: PFS.PDS.115. TITLE: Patient Billing and Collections CURRENT EFFECTIVE DATE: 01/01/2018. PAGE 1 of 8 SCOPE:
PAGE 1 f 8 SCOPE: This Patient Billing and Cllectins Plicy applies t all Presbyterian Healthcare Services (Presbyterian) hspital facilities, including inpatient, utpatient, hme health care services and
More informationLeaves/Reimbursement Procedures
Leaves/Reimbursement Prcedures Emplyee Request fr Prfessinal Leave Trips that are Overnight/Out-f-State/In excess f 150 miles f schl, must have 1 mnth in advance t get bard apprval Cnference/Trip infrmatin-
More informationTransfer Account Instructions
Transfer Accunt Instructins Nte: A Transfer Matrix (shwing which accunts t use nce apprval/crrectness has been determined) is available at the end f this dcument. A transfer accunt is used fr varius types
More information1. REIMBURSEMENTS FOR EXPENSES: 2. REQUESTING CHECKS:
Mnetary Plicies and Prcedures PTO funds are intended t benefit the students thrugh the enhancement f schl prgrams and activities. The PTO Officers are the guardians f these funds and have an bligatin t
More informationCRG PATIENT REGISTRATION FORM
CRG PATIENT REGISTRATION FORM PATIENT INFORMATION Patient s Name: Birth : (Last) (First) (Middle) Scial Security Number: Male: Female: Hme Address: (Street / RR Bx # / Apt. #) (City/State) (Zip) Preferred
More informationPATIENT LIABILITY STATEMENT
PATIENT LIABILITY STATEMENT (Updated 6/17) We will nt initiate therapeutic services until signed authrizatin is prvided. I understand that I am persnally respnsible fr charges incurred fr services rendered
More informationTravel Manual Finance & Accounting Page 1 of 19 Last Update: 03/2018
Travel Manual Finance & Accunting Page 1 f 19 Last Update: 03/2018 Finance & Accunting Web site: http://www.fa.ucf.edu TABLE OF CONTENTS Page Cntents PART A: INTRODUCTION/ TRAVEL REIMBURSEMENT SUMMARY...
More informationResolving Frequently Asked Questions
Frm ADV Part 1A Updates Reslving Frequently Asked Questins Presented by: Stephen Gallett, Esq. Cary Kvitka, Esq. Max Schatzw, Esq. 609.219.7450 Prvide Backgrund n: Agenda New and Revised Questins in Item
More informationaddress: Driver license number: Date of birth: Occupation:
MEMBERSHIP APPLICATION PRIMARY MEMBER INFORMATION Name: Scial security Member Number: Hme phne: Cell phne: Business phne: Mther s Maiden Name: Security passwrd: Mailing address: City: State: ZIP Cde: Street
More informationSt. Paul s Lutheran Grade School Tuition Agreement Form
St. Paul s Lutheran Grade Schl Tuitin Agreement Frm Schl Year: 2017-2018 2017-18 tuitin schedule is listed n the bttm f this dcument. St. Paul s Lutheran Grade Schl strives t prvide an envirnment cnducive
More informationIs claimant a state official or employee? Check YES if claimant is:
General Travel Prcedures Regulatins regarding the reimbursement f travel expenses are specified in the Oklahma statutes. The Office f State Finance has the respnsibility f interpreting these statutes and
More informationThere are two ways to submit your banking information for direct deposit into your personal bank account:
Cmpleting Yur Master Student Financial Assistance (MSFAA) Agreements Alberta and Canada have lifetime Master Student Financial Assistance Agreements (MSFAAs) that will cver yu fr all f the time yu are
More informationThe Supplemental Nutrition Assistance Program (SNAP) used to be called Food Stamps. You can show your SNAP card or show an award letter that has:
SNAP (Fd Stamps) The Supplemental Nutritin Assistance Prgram (SNAP) used t be called Fd Stamps. Yu can shw yur SNAP card r shw an award letter that has: Name f the prgram Name f the participant Address
More informationILLINOIS INSTITUTE OF TECHNOLOGY J-1 SCHOLAR REQUEST FORM (TO BE COMPLETED BY THE DEPARTMENT)
J-1 SCHOLAR REQUEST FORM (TO BE COMPLETED BY THE DEPARTMENT) Please cmplete this frm and return it, alng with the individual s sectin, t the Internatinal Center as sn as pssible s that we may issue the
More informationINDEPENDENT ACCOUNTANTS' REPORT ON APPLYING AGREED-UPON PROCEDURES
^001 GRIFFIN & COMPANY, LLC CERTIFIED PUBLIC ACCOUNTANTS Stephen M. Griffin, CPA Rbert J. Furman, CPA INDEPENDENT ACCOUNTANTS' REPORT ON APPLYING AGREED-UPON PROCEDURES T the Bard Members Atchafalaya Basin
More informationAMENDMENTS TO NASDAQ RULES ON COMPENSATION COMMITTEES
March 2013 AMENDMENTS TO NASDAQ RULES ON COMPENSATION COMMITTEES Summary. The Securities and Exchange Cmmissin recently apprved the fllwing amendments t the NASDAQ listing rules relating t cmpensatin cmmittees:
More informationMICRO GROUP EMPLOYER DOCUMENTATION REQUIREMENTS
Seattle, Washingtn 98101 MICRO GROUP EMPLOYER DOCUMENTATION REQUIREMENTS D nt cancel any existing plicies until yu receive cnfirmatin f final rates and/r acceptance f the grup by Regence BlueShield (Regence).
More information2017 Funding Application Loan Repayment Assistance Program
2017 Funding Applicatin Lan Repayment Assistance Prgram Lewis & Clark Law Schl Deadline May 30, 2017 Eligibility is based n the factrs in the brchure entitled Overview f the Lan Repayment Assistance Prgram
More informationYou can get help from government organizations that are not connected with us
2011 Evidence f Cverage fr Medi-Pak Advantage MA (PFFS) Chapter 9: What t d if yu have a prblem r cmplaint (cverage decisins, appeals, cmplaints) BACKGROUND SECTION 1 Intrductin Sectin 1.1 What t d if
More informationSpecial Conditions Form
2019-2020 Special Cnditins Frm Cntact Infrmatin www.twsn.edu/finaid finaid@twsn.edu 410-704-4236 If yur family has experienced a majr reductin in incme, the Financial Aid Office may be able t reevaluate
More informationOntario Re-Entry Return of Service Qs and As
Ontari Re-Entry Return f Service Qs and As 1) What are Return f Service (ROS) Prgrams? ROS prgrams ffer participants an pprtunity t partake in a ministry funded prgram in return fr a cmmitment t practise
More informationSchedule C Worksheet for Self-Employed Filers and Contractors tax year Part 1: Business Income and Expenses
Schedule C Wrksheet fr Self-Emplyed Filers and Cntractrs tax year 2017 This dcument will list and explain the infrmatin and dcumentatin that we will need in rder t file a tax return fr a self-emplyed persn,
More informationUniversity of Pittsburgh Office of the Controller General Accounting
University f Pittsburgh Office f the Cntrller General Accunting PRISM ACCOUNT REQUEST APPLICATION (PARA) Frm Instructins September 2017 PARA The PRISM Accunt Request Applicatin (PARA) is a web-based applicatin
More informationTennessee Board of Regents (TBR) Policy 4:03:03:00
Tennessee Bard f Regents (TBR) Plicy 4:03:03:00 All travel must be cnsistent with the educatinal, research, and prfessinal needs f the TBR System. Emplyees must cnduct all travel with integrity, in cmpliance
More informationHow to Count Employees Determining Group Size Under the Medicare Secondary Payer Regulations
Hw t Cunt Emplyees Determining Grup Size Under the Medicare Secndary Payer Regulatins 1. Wh is an Emplyee? An emplyee is an individual wh wrks fr an emplyer r an individual wh, althugh nt actually wrking
More informationInstitute and Center Charging Guidance: Charging Individual Training Grant or Fellowship Cost Categories Expenditure (Budget) Category Stipends
Guidance Purpse and Overview The University f Oregn (UO) receives spnsred funds in supprt f individual graduate student s training in the frm f fellwship awards r individual training grants. These awards
More information2 Up to $250 total (receipts required if travel by air). Up to $95 per day of conference attendance
2016 ICADD Millennium Fund Schlarship Applicatin In the spring f 2015 the ICADD Fundatin was awarded an Idah Millennium Fund grant ffering a limited number f cnference schlarships t supprt attendance by
More informationTravel and Expense In PeopleSoft. Planes, Trains and Automobiles
Travel and Expense In PepleSft Planes, Trains and Autmbiles AGENDA PepleSft Travel Mdule Travel Authrizatin Cash Advance Expense Reprt Business Meal Attendees Htel Wizard Receipt Requirements T&E Direct
More informationPolicy & Procedure Manual
Plicy & Prcedure Manual Agency Vacatin Reviewed Date HR0701 Revised Date May 12, 2014 Apprved Date December 19, 1990 Intrductin The Bard f Health believes in prviding fair and equitable benefits t all
More informationLSI Securities Litigation
Page 1 f 8 ELECTRONIC FILING INSTRUCTIONS I. Imprtant Ntes PLEASE READ In additin t these instructins, please review the details set frth in the claim frm and ntice prir t submitting claims. Electrnic
More informationComplete and return this form by July 15, Address: City: State: Zip code: Telephone (Day): Telephone (Evening): Telephone (Cell):
2017 2018 Applicatin Frm Edward T. Cnry Memrial Schlarship Prgram & Jean B. Cryr Memrial Schlarship Prgram Cmplete and return this frm by July 15, 2017. Sectin A: General Infrmatin (Please Print) Last
More informationSalt Lake City Area Office 8722 S. Harrison St. Sandy, UT P.O. Box 4439 Sandy, UT Fax
Salt Lake City Area Office 8722 S. Harrisn St. Sandy, UT 84070 P.O. Bx 4439 Sandy, UT 84091 800-257-5590 Fax 800-478-9880 Chicag Office 303 W. Madisn Street Suite 2075 Chicag, IL 60606 800-456-4576 Fax
More informationSpecial Conditions Form
2017-18 Special Cnditins Frm Cntact Infrmatin www.twsn.edu/finaid finaid@twsn.edu 410-704-4236 If yur family has experienced a majr reductin in incme, the Financial Aid Office may be able t reevaluate
More informationUSA, we MUST have a clear, readable copy of your passport included with your Application Form.
Dear Vlunteers, Thank yu fr yur interest in the Kids Arund the Wrld Dminican Republic trip. We are excited fr the pprtunity t wrk alngside yu t impact the lives f these children. The need there is tremendus
More informationAll application submissions and questions may be sent to: CHECKLIST
Dear Vlunteers, Thank yu fr yur interest in the Kids Arund the Wrld playgrund build trip. We are excited fr the pprtunity t wrk alngside yu t impact the lives f these children. The need there is tremendus
More informationSection 4: Nominating Committee. Approved: 07/24/17. Policy
Sectin 4: Nminating Cmmittee Apprved: 07/24/17 Plicy The Nminating Cmmittee will nminate in accrdance with Bylaws Sectin IX a slate f fficers fr the Executive Cuncil, specifically fr the psitins f President,
More informationFISCAL OFFICER TRAINING MANUAL
FISCAL OFFICER TRAINING MANUAL CONSOLIDATED FISCAL REPORT (CFR) SUBMISSION Business Prcess: (what is it?) The Cnslidated Fiscal Reprt (CFR) is required t be cmpleted by service prviders receiving funding
More informationPROOF OF CLAIM AND RELEASE
Deadline fr Submissin: FEBRUARY 16, 2015 Tel.: 866-274-4004 Fax: 610-565-7985 inf@strategicclaims.net PROOF OF CLAIM AND RELEASE IF YOU PURCHASED OR OTHERWISE ACQUIRED AMERICAN DEPOSITORY SHARES ( ADS
More informationPLAN DOCUMENT TEMPORARY DISABILITY INSURANCE PROGRAM FOR LAY EMPLOYEES DIOCESE OF METUCHEN OFFICE OF HUMAN RESOURCES. Effective January 1, 2014
DIOCESE OF METUCHEN OFFICE OF HUMAN RESOURCES TEMPORARY DISABILITY INSURANCE PROGRAM FOR LAY EMPLOYEES PLAN DOCUMENT Effective January 1, 2014 (Replaces January 1, 2013 Plan Dcument) 1 CONTENTS OVERVIEW...
More informationFinancial Assistance Conference/Travel Bursary Application Form
Financial Assistance Cnference/Travel Bursary Applicatin Frm At the discretin f the Bard: 1. Membership f a Lcal Assciatin must be current and cntinuus fr at least tw years. 2. The Lcal Assciatin President
More informationARIZONA FIRE DISTRICT ASSOCIATION FINANCIAL PROCEDURES POLICY
FINANCIAL PROCEDURES POLICY 1. PURPOSE The purpse f these Financial Prcedures is t prvide cnsistent applicatin f cnduct and prper internal cntrls t safeguard the assets f the Arizna Fire District Assciatin
More informationCity of Laramie/Albany County Community Partner Organization-- Outside Agency Funding Request Application. Fiscal Year 2018/2019
City f Laramie/Albany Cunty Cmmunity Partner Organizatin-- Outside Agency Funding Request Applicatin Fiscal Year 2018/2019 Intrductin The City f Laramie and Albany Cunty prvide funding pprtunities t lcal
More informationFLORIDA SMALL BUSINESS EMERGENCY BRIDGE LOAN APPLICATION
FLORIDA SMALL BUSINESS EMERGENCY BRIDGE LOAN APPLICATION Disaster Event: Hurricane Michael (Applicatin Deadline December 7, 2018) LOAN AMOUNT REQUESTED: (Maximum $50,000) * Lans f up t $100,000 may be
More informationTERMS AND CONDITIONS FOR APPOINTMENT OF INDEPENDENT DIRECTOR
TERMS AND CONDITIONS FOR APPOINTMENT OF INDEPENDENT DIRECTOR 1 PRIVATE & CONFIDENTIAL Date: T, Independent Directrs, Subject: Appintment as an Independent Directr InfBeans Technlgies Limited Dear Sir/Madam,
More informationOverview. Procedure. ERP Replacement Program Non Contract Hourly (NCH) Form July 26, 2018
Overview Accunting fr hurs wrked utside f an emplyee s nrmal schedule can be recrded as nn cntracted hurly, secnd jbs, additinal duty hurs, r vertime. Prcedure Additinal Duty Hurs hurs wrked by exceptin
More informationINCOME NAME. Occupation and Employer. Current Residential Address. Current Postal Address. Address. Phone Number
NAME Occupatin and Emplyer Gvernment emplyees please include level. Current Residential Address Current Pstal Address Email Address Phne Number Hw Wuld Yu Like Us t Cntact Yu Email Phne Bank Accunt Infrmatin
More informationQuality Assurance Program Independent Student Verification Worksheet
2015-16 Quality Assurance Prgram Independent Student Verificatin Wrksheet QAIVER Yur applicatin was selected fr review in a prcess called verificatin. In this prcess, Temple University will be cmparing
More informationThe Lockwood Foundation Grant Application Instructions
The Lckwd Fundatin Grant Applicatin Instructins 2017-2018 Applicatin Opens January 22, 2018 Applicatins due March 5, 2018 The Bellevue Cllege Fundatin and The Lckwd Fundatin are pleased t annunce the 2017-2018
More informationFINANCIAL SERVICES GUIDE Adams Triglone, Gregory Thomas Adams, Judith Anne Constantine
FINANCIAL SERVICES GUIDE Adams Triglne, Gregry Thmas Adams, Judith Anne Cnstantine Date: 8 December 2016 This Financial Services Guide ( FSG ) is prvided by: Adams Triglne ABN 29 551 448 187 (Authrised
More informationInstitute For Orthopaedic Surgery (IOS) Subject: Billing and Payments: General Guidelines
Institute Fr Orthpaedic Surgery (IOS) Plicy and Prcedure Manual Subject: Billing and Payment: General Statements Purpse: T prvide directin t staff members in their interactin with patients and guarantrs
More informationUNLV Purchasing Card Manual Revision 6.0 Release Notes. December 1, 2016 III. DEFINITIONS CONTACTS
UNLV Purchasing Card Manual Revisin 6.0 Release Ntes December 1, 2016 DISCLAIMER: The PCard team highly recmmends re-reading the whle manual as a refresher; hwever t save yu time, substantive changes t
More informationEmployee Rights & Responsibilities Page 1 of 4 Traumatic Injury/Form CA-1
Emplyee Rights & Respnsibilities Page 1 f 4 Traumatic Injury/Frm CA-1 The Federal Emplyees Cmpensatin Act (FECA) utlines the benefits fr federal emplyees injured in the perfrmance f their duties. The Office
More informationNAVIPLAN PREMIUM LEARNING GUIDE. Set insurance goals
NAVIPLAN PREMIUM LEARNING GUIDE Set insurance gals Cntents Set insurance gals 1 Learning bjectives 1 NaviPlan planning stages 1 Client case 2 Describe the assumptins and analysis methds available fr determining
More information