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[]
[null,null,null,"Tuition Assistance Program (TAP)"]
[null,null,null,"CHECK REQUEST FORM"]
["mm/dd/yyyy",null,null,"Per KP TR Application:  Complete a separate "]
[null," Date Requested",null,"TAP Check Request Form for each entity"]
[null," Date Check Required",null,"you are requesting payment."]
[]
[]
["Requestor Information:",null,"Name:","KP NUID:","KP EMPLOYEE ID:"]
[]
[null,null,"Email:","Phone","KP Region"]
[]
[]
["Payment Handling:",null,"Mail to Payable Address Below"]
[]
[null,null,"Attach payment documents before mailing"]
[]
["Payable to:","Name "]
[null,"Address "]
[null,"City, State, ZIP "]
[null,"Telephone "]
[null,"Email "]
[null,"Student ID ",null,"Academic Term "]
[]
[null,"Attach all invoices, receipts and any other documents supporting amounts requested below."]
[null,"-  For payments being made by BHMT directly to a provider, an invoice/statement from that provider is required"]
[null,"-  For payments being made by BHMT to you for reimbursement of expenses already paid, you MUST attach both "]
[null,"   an invoice/statement from the provider plus proof of your payment"]
[]
[null,"Any check request submitted without supporting documents will not be processed."]
[]
["Invoice/Receipt\nDate","Account","Class","Description","Amount"]
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[null,{"$f":"VLOOKUP($E$12,Sheet3!$A$2:$C$8,2,FALSE)","v":{"$error":"#N/A"}},{"$f":"VLOOKUP($E$12,Sheet3!$A$2:$C$8,3,FALSE)","v":{"$error":"#N/A"}}]
[null,{"$f":"VLOOKUP($E$12,Sheet3!$A$2:$C$8,2,FALSE)","v":{"$error":"#N/A"}},{"$f":"VLOOKUP($E$12,Sheet3!$A$2:$C$8,3,FALSE)","v":{"$error":"#N/A"}}]
[null,{"$f":"VLOOKUP($E$12,Sheet3!$A$2:$C$8,2,FALSE)","v":{"$error":"#N/A"}},{"$f":"VLOOKUP($E$12,Sheet3!$A$2:$C$8,3,FALSE)","v":{"$error":"#N/A"}}]
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[null,{"$f":"VLOOKUP($E$12,Sheet3!$A$2:$C$8,2,FALSE)","v":{"$error":"#N/A"}},{"$f":"VLOOKUP($E$12,Sheet3!$A$2:$C$8,3,FALSE)","v":{"$error":"#N/A"}}]
[null,null,null,"Check Request Total",{"$f":"SUM(E33:E38)","v":0}]
[]
[]
[]
["Approved",null,null,"Date","/        /"]
[]
[]
["Not Approved",null,null,"Date","/        /"]
[]
[]
[]
["Upload completed TAP Check Request Forms  - along with all supporting documentation - to your KP Tuition Reimbursement"]
["       Application through MyHR.  BHMT can not process your request for payment without this form."]

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[null,"ACCOUNT","CLASS"]
["Colorado",6207.03,"ALL:TAP"]
["Georgia",6207.04,"ALL:TAP"]
["Hawaii",6207.08,"ALL:TAP"]
["Mid-Atlantic",6207.05,"ALL:TAP"]
["Northern California",6207.01,"ALL:TAP"]
["Northwest",6207.06,"ALL:TAP"]
["Southern California",6207.02,"ALL:TAP"]