Nevada Nurse Apprentice Program

Nevada Rural Hospital Partners Foundation

Nurse Apprentice Program ARPA Grant 


RN 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 RN apprentice during the month of ,

The following documentation has been uploaded to validate this request -  

Reimbursement for RN Nurse Apprentice salary is at an hourly rate of $25.00. (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.

Leave this empty:

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Signature Certificate
Document name: {{gravity-field-id-33}}-STATE-{{gravity-field-id-28}}-{{gravity-field-id-29}}-{{gravity-field-id-10}}-RN-{{gravity-field-id-44}} hours
lock iconUnique Document ID: c1eb4e93a72e0eddb4306a446cbda55493db49b5
Timestamp Audit
August 22, 2024 11:33 am PST{{gravity-field-id-33}}-STATE-{{gravity-field-id-28}}-{{gravity-field-id-29}}-{{gravity-field-id-10}}-RN-{{gravity-field-id-44}} hours Uploaded by Galina Tolle - galina@nrhp.org IP 134.197.230.125
August 22, 2024 11:38 am PSTNAP Requests - naprequests@nrhp.org added by Galina Tolle - galina@nrhp.org as a CC'd Recipient Ip: 134.197.230.125