Get Pd

This guide provides a step-by-step process for completing the Pd reimbursement form online. The aim is to assist users in navigating the form smoothly and ensuring all necessary information is accurately included.

Follow the steps to complete your Pd reimbursement form online.

1. Press the ‘Get Form’ button to access the Pd reimbursement form and open it in your preferred online editing tool.
2. Begin by filling in your employee ID number, followed by your last name, first name, and middle name in the respective fields. Ensure all names are accurately spelled.
3. Next, provide your street address, apartment number (if applicable), city, state, and zip code to ensure accurate location identification.
4. Input your home phone number, cell phone number, email address, and work phone number where applicable. This information allows for effective communication regarding your application.
5. Indicate your current license number and complete the racial ethnic background section, which is optional but may be beneficial for demographic purposes.
6. Fill in your date of hire, job title, hours worked per week, and select your current license type and employer. This helps confirm your eligibility.
7. In the union representation section, check the box that corresponds to your union affiliation.
8. For the reimbursement details, specify the class name, class date, cost of the class, and the number of Continuing Education Units (CEUs) received. This ensures the correct reimbursement amount is calculated.
9. Provide information on whether you are requesting reimbursement from any additional sources and list those sources if applicable.
10. Sign and date the certification section, confirming all provided information is accurate and complete. Ensure that your signature matches your name as noted on the form.
11. Gather and attach the required supporting documents, such as original receipts, proof of course completion, a recent paycheck stub, and a copy of your current license.
12. Finally, submit your completed application either via fax to the specified number or by mailing it to the provided address. Ensure this is done within the given time frame.

Complete your Pd reimbursement form online today to ensure you receive the support you need.