INVOICE for SUBSTITUTES
(FAU and PAEC)
Please reimburse ___________________ school district for the costs of a substitute
teacher, as specified below.
Teacher for who substitute was obtained:
Name:
School:
Mailing Address:
Telephone Number:
?
Social Security Number:
?
Substitute:
Name
School:
Mailing Address:
Telephone Number:
Social Security Number:
Date(s) and hours substitute worked:
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.
FOR PROJECT USE ONLY
Substitute authorized by Project? ____Yes
____No
Project Expenditure should be charged to: _______________________________