Nevada Rural Hospital Partners Foundation

Nurse Apprentice Program ARPA Grant 

LPN Monthly Payment Request - State Hospital  

Thank you for submitting your Monthly Nurse Apprentice timesheets for payment. The following is a summary of the data you entered on . 

has requested reimbursement of salary expenses for . The request is for hours of employment as an LPN apprentice during the month of , . 

The following documentation has been uploaded to validate this request -  

Reimbursement for LPN Nurse Apprentice salary is at an hourly rate of $20.00. (State hospitals do NOT receive the additional hourly rate of $3.00 for the Registered Nurse supervising the Nurse Apprentice.)
This brings your total request for reimbursement to .

By signing this agreement, you are validating that all information is correct and accurate.