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PEEL DISTRICT SCHOOL BOARD SHORT TERM PROFESSIONAL DEVELOPMENT LEAVE REQUEST FORM NON TEACHING STAFF APPLICANTS ARE TO FILL OUT THE FORM OBTAIN SUPERVISOR APPROVAL AND FORWARD TO THE STPDL COMMITTEE FOR APPROVAL. ONCE APPROVED BY THE STPDL COMMITTEE THE ORIGINAL SHOULD BE RETURNED TO THE APPLICANT. THE APPLICANT SHOULD RETAIN A COPY FOR THEIR RECORDS AND SEND THE ORIGINAL TO ACCOUNTING WITH THE APPROPRIATE RECEIPTS FOR REIMBURSEMENT. IF AN ADVANCE IS REQUESTED THE RECEIPTS MUST ACCOMPANY THE FINAL REQUEST FOR PAYMENT AND SHOULD BE MADE WITHIN 30 DAYS OF THE EVENT. Date of Request Employee Group Name PERSONAL Name School INFORMATION Department Last Leave LEAVE Activity Name Location Description of Activity Dates of Activity From To Dates of Work BUDGET Registration Fee Advance if total expenses are more than 250 Accommodation Meals Advance up to 90 Transportation Total Km x. 45 Final Reimbursement Other Total Expenses - Signature of Applicant SUPPLY STAFF Date Signature of Chair No* of Supply Days APPROVAL To be completed by Principal or Supervisor SUPERVISOR Total Reimbursement Principal/Supervisor Signature STPDL COMMITTEE Approve Leave Do Not Approve Leave Reason for Not Approving Leave Account Code To Be Charged Rate Amount ADVANCE DATE PROCESSED IN ACCOUNTING VENDOR NUMBER STPDL Form*g FINAL. THE APPLICANT SHOULD RETAIN A COPY FOR THEIR RECORDS AND SEND THE ORIGINAL TO ACCOUNTING WITH THE APPROPRIATE RECEIPTS FOR REIMBURSEMENT. IF AN ADVANCE IS REQUESTED THE RECEIPTS MUST ACCOMPANY THE FINAL REQUEST FOR PAYMENT AND SHOULD BE MADE WITHIN 30 DAYS OF THE EVENT. IF AN ADVANCE IS REQUESTED THE RECEIPTS MUST ACCOMPANY THE FINAL REQUEST FOR PAYMENT AND SHOULD BE MADE WITHIN 30 DAYS OF THE EVENT. Date of Request Employee Group Name PERSONAL Name School INFORMATION Department Last Leave LEAVE Activity Name Location Description of Activity Dates of Activity From To Dates of Work BUDGET Registration Fee Advance if total expenses are more than 250 Accommodation Meals Advance up to 90 Transportation Total Km x. Date of Request Employee Group Name PERSONAL Name School INFORMATION Department Last Leave LEAVE Activity Name Location Description of Activity Dates of Activity From To Dates of Work BUDGET Registration Fee Advance if total expenses are more than 250 Accommodation Meals Advance up to 90 Transportation Total Km x. 45 Final Reimbursement Other Total Expenses - Signature of Applicant SUPPLY STAFF Date Signature of Chair No* of Supply Days APPROVAL To be completed by Principal or Supervisor SUPERVISOR Total Reimbursement Principal/Supervisor Signature STPDL COMMITTEE Approve Leave Do Not Approve Leave Reason for Not Approving Leave Account Code To Be Charged Rate Amount ADVANCE DATE PROCESSED IN ACCOUNTING VENDOR NUMBER STPDL Form*g FINAL. THE APPLICANT SHOULD RETAIN A COPY FOR THEIR RECORDS AND SEND THE ORIGINAL TO ACCOUNTING WITH THE APPROPRIATE RECEIPTS FOR REIMBURSEMENT. IF AN ADVANCE IS REQUESTED THE RECEIPTS MUST ACCOMPANY THE FINAL REQUEST FOR PAYMENT AND SHOULD BE MADE WITHIN 30 DAYS OF THE EVENT. Date of Request Employee Group Name PERSONAL Name School INFORMATION Department Last Leave LEAVE Activity Name Location Description of Activity Dates of Activity From To Dates of Work BUDGET Registration Fee Advance if total expenses are more than 250 Accommodation Meals Advance up to 90 Transportation Total Km x. .

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