Get Concentra Employee Reimbursement Form

This guide provides a detailed overview of how to effectively complete the Concentra Employee Reimbursement Form online. Whether you are new to the process or seeking a refresher, the steps outlined below will help you accurately fill out the necessary information for your tuition reimbursement request.

Follow the steps to complete your reimbursement form with ease.

1. Click ‘Get Form’ button to access the Concentra Employee Reimbursement Form and open it for editing.
2. Begin by entering your personal information. Fill in your full name (last, first, and middle) as it appears on your company records.
3. Enter your date of hire and employee ID number in the specified fields.
4. Provide your contact information, including your home/cell phone number and work phone number.
5. Fill in your company code, location code, department code, and home address to ensure proper identification.
6. Indicate your present job title, the school program you are enrolled in, and the course number for which you seek reimbursement.
7. Enter the seminar or course title and the college or university you are attending.
8. Specify the course start date and the total cost of tuition or seminar.
9. In the description section, explain how the course will improve your work performance and its relevance to your job.
10. Indicate whether you are enrolled in a degree program and if you are receiving other educational assistance, providing details if applicable.
11. Sign and date the form, acknowledging your understanding of the reimbursement terms outlined in the HR policy.
12. Once completed, submit the application to your supervisor for approval before proceeding with the submission process.
13. After obtaining the necessary approvals, follow the instructions to send the form along with required documentation (tuition receipt and grade report) to Concentra.

Complete your Concentra Employee Reimbursement Form online today to ensure you receive your educational assistance promptly.