INVOICE for SUBSTITUTES

(FAU and PAEC)

Please reimburse

school district for the cost of a substitute teacher, as specified

below.

Teacher for whom substitute was obtained:

Name:

School:

Mailing Address:

Telephone Number:

?

Social Security Number:

?

Substitute:

Name:

School:

Mailing Address:

Telephone Number:

Social Security Number:

Date and hours substitute worked: DAY: HOURS:

Cost to be reimbursed:

Reason for use of substitute:

School District FEID Number:

Address to which check should be mailed:

_____________________________

 

  

  

  

  

  

  

Authorized

  

Signature

  

After you have attended the workshop, please complete this form and fax it to Florida’s

Coordinated School Health Program at (850) 245-5116 or SunCom 205-5116.

FOR PROJECT USE ONLY

Substitute authorized by Project?

Yes

No

Project Expenditure should be charged to: