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 as were outbound travel day meals totaling .

Additional meals for non-travel days in the amount of were requested for:

  • meals in the amount of
  • meals in the amount of
  • meals in the amount of
  • meals in the amount of

Your lodging was requested in the amount of . The following documentation has been uploaded to validate this request:  

Your return trip departed the facility at on , arriving home and ending travel at . Mileage reimbursement of miles was requested as were return travel day meals totaling .

     
     
      
      

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-56}} - Travel Request for {{gravity-field-id-17}} {{gravity-field-id-1}} - {{gravity-field-id-30}}
lock iconUnique Document ID: 1354b7b89243ebd2110f9f838cc4269399188bd8
Timestamp Audit
August 8, 2023 12:43 pm PST{{gravity-field-id-56}} - Travel Request for {{gravity-field-id-17}} {{gravity-field-id-1}} - {{gravity-field-id-30}} Uploaded by Galina Tolle - galina@nrhp.org IP 134.197.230.125
September 29, 2023 10:48 am PSTNAP Requests - naprequests@nrhp.org added by Galina Tolle - galina@nrhp.org as a CC'd Recipient Ip: 134.197.230.125
October 3, 2023 9:41 am PSTNAP Requests - naprequests@nrhp.org added by Galina Tolle - galina@nrhp.org as a CC'd Recipient Ip: 134.197.230.125
November 28, 2023 11:01 am PSTNAP Requests - naprequests@nrhp.org added by Galina Tolle - galina@nrhp.org as a CC'd Recipient Ip: 134.197.230.125