Get Protective Footwear Reimbursement Request Form 06-09.doc - Ashland Or

This guide provides clear instructions on how to effectively fill out the Protective Footwear Reimbursement Request Form 06-09 from Ashland, Oregon. By following these steps, users will be able to navigate the form seamlessly and ensure proper reimbursement for protective footwear expenses.

Follow the steps to complete your reimbursement request efficiently.

1. Click the ‘Get Form’ button to obtain the form and open it in your preferred editing tool.
2. Enter the date of the request in the designated field. This should reflect the date you are submitting the form.
3. In the 'Employee Name' section, fill in your full name as it appears in your employment records.
4. Specify the reimbursement request by choosing between 'Replacement' or 'Purchase of new protective footwear'.
5. In the 'Amount Requested as Reimbursement' field, input the amount you are requesting, ensuring it does not exceed $375. Remember to provide receipts for the purchase.
6. Acknowledge departmental standards by reviewing the information regarding eligibility for reimbursement. Ensure that the footwear you purchased complies with these standards.
7. Sign the form in the 'Employee Signature' section and input the date of your signature.
8. Your supervisor must complete the 'Approval' section by signing and dating it.
9. For personnel use, provide any additional required information, including the last reimbursement granted and balance left, if applicable.
10. Finally, save your changes, and you may choose to download, print, or share the completed form as needed.

Complete your Protective Footwear Reimbursement Request Form online today for a smooth reimbursement process.