Arizona Peace Officer
Standards and Training Board
ALLOCATION FUNDING APPLICATION
AGENCY NAME: __________________________________________________________________________________
NAME/S OF PERSON/S ATTENDING: Last 4 of SSN:
1. ____________________________________________________
__________
2. ____________________________________________________
3 ____________________________________________________
4. ____________________________________________________
TITLE OF TRAINING PROGRAM: _______________________________________________________
PRESENTING AGENCY/ORGANIZATION: _______________________________________________
LOCATION OF TRAINING: _____________________________________________________________
DATE/S OF TRAINING: _________________________________________________________________
FUNDS REQUESTED FOR:
REGISTRATION PERSON/S @ $ = $___________
AIRFARE: PERSON/S @ $ = $___________
LODGING: DAYS @ $ X PERSON/S = $___________
PER DIEM: DAYS @ $ X PERSON/S = $___________
OTHER COSTS (DESCRIBE):
_________________________________________________________________ $
_________________________________________________________________ $
TOTAL FUNDS REQUESTED: $___________
SUBMITTED BY:
_______________________________________________
TRAINING COORDINATOR: ___________________________________
PHONE: ______________________
SIGNATURE: ___________________________________
DATE: ______________________
FOR USE BY AZPOST
REVIEWED/APPROVED BY: ____________________________________
DATE:
_________________
FUNDS AVAILABLE TO AGENCY: $_______________
FUNDS ENCUMBERED FOR THIS REQUEST: $_______________
BALANCE OF FUNDS AVAILABLE TO AGENCY: $_______________
ACTUAL REIMBURSEMENT AMOUNT: $_______________
DATE OF REIMBURSEMENT:
DATE:
_________________
TRAINING COORDINATOR NAME AND SIGNATURE IS REQUIRED
__________
__________
__________
PHONE: ______________________
January 2014
Instructions at http://www.azpost.gov/TrainAllocation.htm
