CCNE On-Site Evaluator Resources - Nurse Residency Programs


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Expense Report

The expense report can be completed using the link below. Enter your expenses in the appropriate spaces; the form will automatically calculate your totals. If you have mileage to report for the use of a personal automobile, enter your mileage in the row designated for mileage; the form will automatically calculate the reimbursement amount for mileage. In the section titled "Purpose of Trip or Site Visited", please enter the name of the institution that you visited. Once you complete the report, print it out. We suggest that you make a copy of the completed expense report for your records. Attach your receipts to the completed expense report and mail to:

Ms. Libby Cooperman
CCNE Executive Admin. Asst.
One Dupont Circle, NW
Suite 530
Washington, DC 20036

Expense Report
The expense report is a pdf file, which requires Adobe Acrobat Reader to view and print.

Click here for information on how to download Adobe Acrobat Reader for free.

 


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