Training Claims *Reminder Mileage is only to be claimed for travel over 40km* Sector (required) SelectHealth (DHW Funded)Community (DCS Funded) Organization (required) Training Attended (required) SelectSHM/PACEVirtual TWM EmployeeVirtual TWM ManagerVirtual NVCI Training Date yyyy-mm-dd(required) Participants: Participant 1 Name Position (required) SelectCCALPNOTPTPT AssistantRCWRecreationRNOther Pay Rate: (required) Union Member? (required) YesNo Hours Attended (required) 3.545.58 Mileage Driven (in KM's) Receipt Milage total (45.85 cents/per KM) 0 Participant Total 0 Participant 2 Name Position SelectCCALPNOTPTPT AssistantRCWRecreationRNOther Pay Rate: Union Member? YesNo Hours Attended 3.545.58 Mileage Driven (in KM's) Receipt Milage total 45.85 cents/per KM) 0 Participant total 0 Participant 3 Name Position SelectCCALPNOTPTPT AssistantRCWRecreationRNOther Pay Rate: Union Member? YesNo Hours Attended 3.545.58 Mileage Driven (in KM's) Receipt Milage total 45.85 cents/per KM) 0 Participant total 0 Participant 4 Name Position SelectCCALPNOTPTPT AssistantRCWRecreationRNOther Pay Rate: Union Member? YesNo Hours Attended 3.545.58 Mileage Driven (in KM's) Receipt Milage total 45.85 cents/per KM) 0 Participant total 0 Participant 5 Name Position SelectCCALPNOTPTPT AssistantRCWRecreationRNOther Pay Rate: Union Member? YesNo Hours Attended 3.545.58 Mileage Driven (in KM's) Receipt Milage total 45.85 cents/per KM) 0 Participant total 0 Participant 6 Name Position SelectCCALPNOTPTPT AssistantRCWRecreationRNOther Pay Rate: Union Member? YesNo Hours Attended 3.545.58 Mileage Driven (in KM's) Receipt Milage total 45.85 cents/per KM) 0 Participant total 0 Participant 7 Name Position SelectCCALPNOTPTPT AssistantRCWRecreationRNOther Pay Rate: Union Member? YesNo Hours Attended 3.545.58 Mileage Driven (in KM's) Receipt Milage total 45.85 cents/per KM) 0 Participant total 0 Participant 8 Name Position SelectCCALPNOTPTPT AssistantRCWRecreationRNOther Pay Rate: Union Member? YesNo Hours Attended 3.545.58 Mileage Driven (in KM's) Receipt Milage total 45.85 cents/per KM) 0 Participant total 0 Participant 9 Name Position SelectCCALPNOTPTPT AssistantRCWRecreationRNOther Pay Rate: Union Member? YesNo Hours Attended 3.545.58 Mileage Driven (in KM's) Receipt Milage total 45.85 cents/per KM) 0 Participant total 0 Participant 10 Name Position SelectCCALPNOTPTPT AssistantRCWRecreationRNOther Pay Rate: Union Member? YesNo Hours Attended 3.545.58 Mileage Driven (in KM's) Receipt Milage total 45.85 cents/per KM) 0 Participant total 0 *Maximum 10 participants per claim, if you have more than 10 participants you will need to submit and continue with a new claim. Total Claim 0 Submitted by: Name Email Mailing Address Notes/Comments:
Health Care Human Resource Sector Council