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: _______________________________