tuitionreimbursement

							                                                         Office of Professional Development
                         Employee Name
                                  Email                                                                       Phone #
                                       Tuition Reimbursement Worksheet

                                                              Course/       Book Fees**
                                            Completion        Tuition         (Individ  Other Fees**          Sub
  Course #            Course Title            Date             Fee**         Receipts)   Misc Items          Totals            Comments
                                                                                                                 $0.00
                                                                                                                 $0.00
                                                                                                                 $0.00
                                                                                                                 $0.00
                                                                                                                 $0.00
                                                                                                                 $0.00
                                                                                                                 $0.00
                                                                                                                 $0.00
                                                                                                                 $0.00
                                                                                                                 $0.00
                                          Subtotal                  $0.00          $0.00             $0.00
                                                                                           Grand Total*          $0.00



               *This total must match the total requested on the tuition reimbursement request form
               **Require original receipts

Please submit this worksheet with receipts along with your tuition reimbursement request for processing to Gloria Prete
Office of Professional Development, Judiciary Education and Conference Center, 2011 Commerce Park Drive, Annapolis, MD 21401

If you have questions you may contact Gloria Prete by email or at 410/260-3601