Enter the appropriate data in the shaded areas. WEDnetPA In House ITT Training Reimbursement Invoice Name of Participating Institution Company Name Institution and Contract Number Title of Training Conducted Date(s) of Training Instructor/Course Costs ITEM Rate Hours TOTAL Instructor's Salary (cost per hour) $ - Instructor's Benefits as % of salary (Enter "0" if no benefits) $ - Total Instructor's Costs $ - Total Number of Employees Receiving Training Total Number of WEDnetPA Eligible Employees Cost per employee #DIV/0! Other Costs: Total Printing Cost (if applicable) Description of cost: Cost per employee #DIV/0! Total Copying Cost (if applicable) $ - Description of cost: Cost per employee #DIV/0! Total Cost for Books/Supplies (if applicable) $ - Description of cost: Cost per employee #DIV/0! Total Cost for Facility Rental (if applicable) $ - Description of cost: Cost per employee #DIV/0! Total Ancillary Costs (if applicable) $ - Description of cost: Cost per employee #DIV/0! Total Costs for All Employees Trained $ - Cost per employee (Enter this Value as per person cost of class) #DIV/0! Allowed Cost for Each WEDnetPA Employee: #DIV/0! Amount of Invoice for WEDnetPA Training (cannot exceed $850/employee): #DIV/0! By my signature, I am certifying that all the above expenses were incurred and are accurate. If necessary, I will provide supporting documentation for indicated costs. Print Name of Person Completing Spreadsheet and Title: Signature of Above: Date: Invoice must be accompanied by a class roster showing class dates, employee names, last four digits of employee's SS# and signed by the instructor.
Pages to are hidden for
"House Rental Template"Please download to view full document