Follow the steps to complete your application effectively.

1. Press the ‘Get Form’ button to access the form and open it in your designated editor.
2. In Part A, fill out your personal information: Print your name (last, first, middle initial), rank, social security number (SSN), and affiliation. Ensure you also provide your mailing address along with your unit or squadron, and contact numbers including home, work, and cell phone.
3. Continue in Part A by indicating if you have used the State Textbook Reimbursement Program before (yes or no) and whether your address has changed since your last application. If yes, complete the attached change of address form.
4. Indicate the total credit hours you are enrolled in and specify the term (Summer, Fall, or Spring) and the year of your course.
5. In Part B, list the class title for which the textbooks are required. Fill in the beginning and ending dates of the class, the textbook titles, and the costs of these textbooks, avoiding any shipping and handling fees.
6. If there are multiple textbooks, repeat the previous step for each textbook required for your classes. The total reimbursement request will be calculated automatically.
7. In Part C, you must certify the accuracy of your provided information by signing, as well as securing the required signatures from your chain of command to confirm all documentation is complete.
8. Ensure that you have included all required documents such as completed application, course syllabus, original receipts, unofficial transcript with a 'C' average, vendor registration form, and a voided check or appropriate bank documentation.
9. After thoroughly reviewing the completed application and supporting documents, save changes, download a copy for your records, and share or submit the application to your unit administrator as directed.

Complete your application online today to secure your textbook reimbursement.