Tuition Approval for Refund Request

{{company_name}}

{{company_address}}

Phone: {{phone}} | Email: {{email}} | Web: {{website}}

Tuition Approval for Refund Request

Tuition Approval for Refund Request

{{company_name}}

{{company_address}}

Phone: {{company_phone}}

Email: {{company_email}}

Website: {{company_website}}

DATE: {{date}}

TUITION APPROVAL FOR REFUND REQUEST

This form is to be completed by employees seeking company sponsorship and/or reimbursement for external education or training programs. Please complete all sections thoroughly and submit to your direct manager for initial review and approval.

**Employee Information:**

Employee Name: {{employee_name}}

Employee ID: {{employee_id}}

Department: {{department}}

Job Title: {{job_title}}

Contact Number: {{employee_phone}}

Email: {{employee_email}}

COURSE/PROGRAM DETAILS

Course/Program Title: {{course_title}}

Institution Name: {{institution_name}}

Program Start Date: {{program_start_date}}

Program End Date: {{program_end_date}}

Total Course Fees: {{total_course_fees}}

Payment Schedule: {{payment_schedule}}

Reason for undertaking the course/program and its relevance to your role and career development within the company: {{reason_for_course}}

REIMBURSEMENT AGREEMENT

I, {{employee_name}}, understand that reimbursement for tuition and related expenses is subject to the company's Tuition Reimbursement Policy, which I have read and understood. I agree to the following conditions:

1. Reimbursement is contingent upon successful completion of the course/program with a grade of {{minimum_grade_required}} or higher (or certification of completion for non-graded programs).

2. I will submit original receipts and proof of completion to the HR Department within {{days_to_submit_proof}} days of program completion.

3. In the event that I voluntarily leave the company within {{months_stay_after_reimbursement}} months of receiving reimbursement, I agree to repay a pro-rata portion of the reimbursed amount as per company policy.

4. The company reserves the right to approve or deny any tuition reimbursement request.

5. Maximum reimbursement amount per annum: {{maximum_reimbursement_per_annum}}.

EMPLOYEE DECLARATION

I hereby certify that the information provided in this request is true and accurate to the best of my knowledge. I understand and agree to adhere to all terms and conditions outlined in the company’s Tuition Reimbursement Policy.

{{employee_signature}}

{{employee_name}}

Date: {{date}}

MANAGER APPROVAL

I have reviewed this request and confirm that the proposed course/program aligns with the employee's role and departmental objectives.

**Approval Status:** [ ] Approved [ ] Denied

Comments: {{manager_comments}}

{{manager_signature}}

{{manager_name}}

Job Title: {{manager_job_title}}

Date: {{date}}

HR DEPARTMENT APPROVAL

I have reviewed this request and confirm its compliance with the company's Tuition Reimbursement Policy. Funding is available for this request.

**Approval Status:** [ ] Approved [ ] Denied

Comments: {{hr_comments}}

{{hr_signature}}

{{hr_name}}

Job Title: HR Manager

Date: {{date}}

SIGNATURE BLOCK

___________________________

Employee Signature

Date: {{date}}

___________________________

Manager Signature

Date: {{date}}

___________________________

HR Department Representative Signature

Date: {{date}}