Application For Training Reimbursement

An application for a training reimbursement shall be accepted only for approved training successfully completed not more than 180 days before the date of this application request. Applicant must hold a current Maryland Child Care Credential of Level Two or higher.

INSTRUCTIONS: This application is for online submissions only. If you plan to mail in an application, please download and complete the PDF version of the application. Complete all information in the spaces provided. All applications must be accompanied by required documentation. Incomplete applications will not be processed. Application for voucher must be submitted not less than 60 days before the date of training.

Personal Information
Federal Tax Form 1040 - Line 22
Check the appropriate box.

Training Information: 

Only training completed within the past SIX months may be reimbursed.

Attach copies of :

  • Receipt of payment indicating the amount paid for the training
  • Certificate of successful completion, grade slip or transcript. (Documentation must include the name of the participant, the date of training, training title, name of Trainer or organization, and , if applicable, the OCC assigned approval number.)
  • Files must be less than 2 MB.
    Allowed file types: txt rtf html pdf doc docx odt ppt pptx odp xls xlsx ods xml.
Files must be less than 2 MB.
Allowed file types: txt rtf html pdf doc docx odt ppt pptx odp xls xlsx ods xml.
Files must be less than 2 MB.
Allowed file types: txt rtf html pdf doc docx odt ppt pptx odp xls xlsx ods xml.

All information on this application is true and accurate to the best of my knowledge. I understand that any false statement on this application will result in being denied reimbursement; being required to repay the amount reimbursement; and/or no longer be eligible for training reimbursement.