Nevada Nurse Apprentice Program

Nevada Rural Hospital Partners Foundation

Nursing Apprentice Program ARPA Grant 


Nurse Apprentice Travel Request

 

Hello , please validate your personal information:




You have made a request for travel reimbursement for your travel to support your nursing apprentice work at from at to at

Summary of your request:

Travel started at on , arriving at the facility at . Mileage reimbursement of miles was requested.

Your return trip departed the facility at on arriving home and ending travel at . Mileage reimbursement of miles was requested.

NO meals were requested for travel days. NO meals were requested for non-travel days. NO lodging was requested for this travel period.

     
      $0
      $0
      

By signing this agreement, you declare under penalties of perjury that to the best of your knowledge this request is true and correct in conformance with governing statues and the requirements of this Nursing Apprentice Program ARPA Grant.

 

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Signature Certificate
Document name: {{gravity-field-id-173}} {{gravity-field-id-174}} - {{gravity-field-id-56}} - Travel Request for {{gravity-field-id-1}} - {{gravity-field-id-30}}
lock iconUnique Document ID: 99e40f27d23bdb9d98d5926f4e69c801a7417d5c
Timestamp Audit
January 24, 2024 4:32 pm PST{{gravity-field-id-173}} {{gravity-field-id-174}} - {{gravity-field-id-56}} - Travel Request for {{gravity-field-id-1}} - {{gravity-field-id-30}} Uploaded by Galina Tolle - galina@nrhp.org IP 99.65.195.165
January 24, 2024 4:34 pm PSTNAP Requests - naprequests@nrhp.org added by Galina Tolle - galina@nrhp.org as a CC'd Recipient Ip: 134.197.230.125
January 24, 2024 4:57 pm PSTNAP Requests - naprequests@nrhp.org added by Galina Tolle - galina@nrhp.org as a CC'd Recipient Ip: 134.197.230.125
January 25, 2024 11:05 am PSTNAP Requests - naprequests@nrhp.org added by Galina Tolle - galina@nrhp.org as a CC'd Recipient Ip: 134.197.230.125
January 25, 2024 11:09 am PSTNAP Requests - naprequests@nrhp.org added by Galina Tolle - galina@nrhp.org as a CC'd Recipient Ip: 134.197.230.125
August 30, 2024 1:56 pm PSTNAP Requests - naprequests@nrhp.org added by Galina Tolle - galina@nrhp.org as a CC'd Recipient Ip: 134.197.230.125
October 24, 2024 4:38 pm PSTNAP Requests - naprequests@nrhp.org added by Galina Tolle - galina@nrhp.org as a CC'd Recipient Ip: 134.197.230.125