Author: Bernie Corrigan

IBEW Local 102 JATC Tuition Reimbursement Application

Phone: 973-428-2848
Fax: 973-428-2939

Reimbursement Form must be submitted for approval prior to taking courses.

Reimbursement for courses will not exceed 75% of the total tuition. Please submit all supporting documentation with your application. (Course description, catalog, flyer, etc.)

Please list course/courses to be submitted for approval. Please note that all courses must be satisfactorily completed to qualify for reimbursement. If letter grades are given you must receive an A, B, or C to be reimbursed. Official documentation providing proof of completion must be provided to the JATC before reimbursement is processed.
The JATC reserves the right to deny any application. You must be a member in good standing to participate in this program. You must receive written approval prior to enrolling or paying for a course.

Name: Card Number:
Street Address:
Town, State, Zip:
Phone:

Course Name	Institution	Start Date	End Date	Amount of Tuition

Approved by:
______________________________________

5o Parsippany Road
Parsippany, NJ 07054