[Firm Name]

[Firm Name]

 

CPE APPROVAL REQUEST FORM

 

 

Name:

     

Employee #:

     

 

 

 

 

Sponsor Name:

     

Course Title:

     

 

 

 

 

CPE Hours:

     

Dates:

     

 

 

 

 

Location:

     

Registration Fees:

     

 

 

 

 

Program Type:

Technical 

Non-Technical

 

 

 

 

 

Yellow Book 

Special    :

     

 

(CFE, Ethics, etc.)

 

 

 

 

Number of Qualifying CPE Hours:

     

 

 

 

 

 Check requested for registration fee

Payee:

     

 

 

 

 Fee to be submitted on expense report

Amount:

     

 

 

 

 

Address:

     

 

 

     

 

 

     

 

*****

Approved by Supervisor (for scheduling purposes):

     

 

Date:

     

 

 

 

 

Approved by Department Head (for seminars involving registration fees and/or travel over $100):

     

Date:

     

 

 

 

 

Approved by Training Coordinator (per training plan):

     

 

 

Date:

     

 

To insure that you receive reimbursement, you must complete this form and have it pre-approved by your supervisor, the Training Coordinator, and, when necessary, your department head (see above). Attach it to your expense reimbursement form along with your registration form.

Click filename below to access file

CPE_Approval_Request_Form.doc




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