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This form covers professional development activities
completed the current year. Activities completed in the previous year cannot be reimbursed after the
December 31st of that year.
(Activities completed in
the current year and paid for in the previous can still be reimbursed using this form. For example, if you paid for CEU credits in 2020 but did not complete all credits till 2021 you can still receive reimbursement from your 2021 benefit based on your eligibility).
*If you a registered nurse requesting reimbursement for your RN Specialty Certification please use this form:
Examples: if you paid for 14 Continuing Education Units (CEUs) and submit only 2 completed CEUs we will not be able to reimburse you. Or if you paid for a conference where you will obtain CEUs, we can only reimburse you after proof is provided that you obtained the CEUs.
This form covers activities
completed this year. Activities completed in the previous year cannot be reimbursed after the
(for example: Activities completed in
2021 but paid for in 2020 can be reimbursed using this form as well as any activity completed in 2021 and paid for in 2021.)
SEIU 1199NW Training Fund | 15 S. Grady Way, Suite 321 | Renton, WA 98057
| (425) 255-0315 | www.healthcareerfund.org | email@example.com