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NDLSF Instructor Resources

NSPANDLSF Instructor Resources

NDLSF Instructor Reimbursement & Assessment Form

  • Instructions

    Please complete this form when seeking reimbursement from NSPA for approved expenses. Reimbursement may take up to 60 days processing and delivery. A copy of this form will be presented once submitted.
  • NDLSF Instructor Resources

  • General Information

  • Travel

    Select the number travel days below
  • Date Format: MM slash DD slash YYYY
    Check the box below if the meal was provided for you by the host
  • Date Format: MM slash DD slash YYYY
  • Check the box below if the meal was provided for you by the host
  • Date Format: MM slash DD slash YYYY
  • Check the box below if the meal was provided for you by the host
  • Date Format: MM slash DD slash YYYY
  • Check the box below if the meal was provided for you by the host
  • Date Format: MM slash DD slash YYYY
  • Check the box below if the meal was provided for you by the host
  • NDLSF Instruction

    Check the box below for the sections taught:
  • Date Format: MM slash DD slash YYYY
  • Date Format: MM slash DD slash YYYY
  • Date Format: MM slash DD slash YYYY
  • Date Format: MM slash DD slash YYYY
  • Date Format: MM slash DD slash YYYY
  • Date Format: MM slash DD slash YYYY
  • Date Format: MM slash DD slash YYYY
  • Date Format: MM slash DD slash YYYY
  • NDLSF Peer Assessment

  • Other Expenses

  • Date (MM/DD/YY)Description of Expense/ItemAmount (in dollars) 
  • Supporting Documentation

    I hereby attest that the above request for reimbursement is accurate and complete to the best of my knowledge and agree that NSPA has the right to refuse any amount/expense deemed ineligible by policy, regulations, and/or law.
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