UPMC Employee Service Center Tuition Assistance

1 upmc Employee Service Center Tuition Assistance Steel Tower, 600 Grant Street, 56th Floor Pittsburgh, PA 15219 phone: 1-800-994-2752, option 3 fax: (412) 647-9299 8/18/2016 Shar'da Brooks 587 Mount Vernon Dr Pittsburgh, PA 15223 Congratulations on successfully completing your class( es). Your Tuition Assistance reimbursement request has been approved and processed as noted below. Keep this letter as a record of this transaction. Semester: 16SP Amount of reimbursement: $ Pay date you will receive reimbursement: 5/6/2016 upmc is proud to offer Assistance for staff educational expenses. Please remember, if you terminate employment with upmc or your job status changes to an ineligible status within 12 months following completion of a course you are required to repay the reimbursement. This repayment requirement applies even if you receive this reimbursement while on an approved leave of absence, unless your employment is terminated by upmc due to an ongoing disability.

2 Applying for Tuition Assistance in the future? Review these helpful tips to ensure accurate and timely processing: * Each term, print the most current application from the forms section of the upmc lnfonet at * Each term, complete a new application. Make sure to fully complete ALL items on the application. * Follow the instructions included with the application to the letter. There is a reason each piece of information is requested. Incomplete submissions cannot be processed. * Accompanying documentation must include the student's name and school. This information must be preprinted by the school. * Submit all of your information together, at one time. Multiple mailings/faxes cause significant delays and backlog. * Submit your information in a timely manner allowing for processing time before all personal, financial, school, and Tuition program deadlines. If complete, advancements take approximately 2-3 working days to process (allow additional time for the advancement letter to be mailed to you).

3 Reimbursement requests require up to 4 weeks to be reflected in your pay. Submissions are processed in the order of receipt of complete information. * If you are unsure of your eligibility for Tuition reimbursement you may submit an application with class schedule prior to a term, however, this is not a required step. It is only required that you submit an application with class schedule, grades, itemized bill, and proof of payment within 6 months after the end of your course. Please be advised that submitting fraudulent/altered information or documents or failure to notify the Tuition Assistance office of a change in your eligibility is considered fraud and theft and is punishable by not only repayment of Tuition paid to in error but also disciplinary action up to and including termination from employment with upmc . Shar'da Brooks Semester: 16SP 8/18/2016 upmc upmc Employee Service Center U S. Steel Tower, 600 Grant Street, 56th Floor Pittsburgh, PA 15219 Shar'da Brooks 587 Mount Vernon Dr Pittsburgh, PA 15223 upmc Tuition Assistance - Advancement Letter 8/18/2016 This letter serves as verification of your current eligibility for Tuition advancement.

4 Read the information below and acknowledge your understanding by signing where indicated. Your next step is to present this letter to the student accounts office at your school within 10 business days. Your school will bill upmc for this portion of your charges and remit your grade report to upmc at the end of the term to confirm successful completion of your coursework. Any additional costs (books, fees, etc.) levied by your school are your responsibility to pay directly to your school. upmc is proud to assist in furthering your education. If you have any questions regarding this advancement letter or the upmc Tuition Assistance Program, contact the upmc Employee Service Center at 1-800-994-2752, option 3. Contact your school if you have any questions regarding any matter related to your enrollment. Regards, upmc Employee Service Center , Tuition Assistance : Student Accounts -Mercy Hospital School> of Nursing This Employee of upmc is eligible for Tuition advance as part of upmc 's corporate sponsorship program with Mercy Hospital School of Nursing.

5 Semester: 15SP Amount Paid: $2, By signing and presenting this advancement letter, this student has agreed to the terms of the upmc Tuition Assistance policy. In addition to this advancement letter, upmc maintains an original signed and dated request form completed by this student which includes a waiver. The waiver authorizes release to upmc any financial and account information such as grade reports, payment details, and any other information related to classes sponsored by upmc for the purpose of determining the student's qualifications for Tuition Assistance provided by upmc . Please note: If non-repayable grants are awarded to the student for the Tuition covered under this Tuition advance, refunds are to be sent to upmc , Attn: Tuition Assistance Office. This advancement covers Tuition charges only. Fees, books, and other charges are solely the responsibility of the student. This letter is void if not submitted within 30 days after the semester starts.

6 Employee Acknowledgement: By signing and presenting this advancement letter to the billing office at my school, I acknowledge I have read, understand, and agree to the information and terms contained in this letter and the upmc Tuition Assistance Guidelines. By accepting this sponsorship, I authorize release of any information about my enrollment, including my grades, registration status, account details, and other data, to the upmc Employee Service Center as necessary to administer the upmc Tuition Assistance program. I understand if my eligibility changes or I do not successfully complete a course, I am responsible for repaying to upmc amounts advanced on my behalf. Employee /Student Signature: Date: Student ID Number: _____ ~This is the identification number assigned to you by your school.) 00147817 upmc upmc Employee Service Center Steel Tower, 600 Grant Street, 56th Floor Pittsburgh, PA 15219 Shar'da Brooks 587 Mount Vernon Dr Pittsburgh, PA 15223 upmc Tuition Assistance - Advancement Letter 8/18/2016 This letter serves as verification of your current eligibility for Tuition advancement.

7 Read the information below and acknowledge your understanding by signing where indicated. Your next step is to present this letter to the student accounts office at your school within 1 O business days. Your school will bill upmc for this portion of your charges and remit your grade report to upmc at the end of the term to confirm successful completion of your coursework. Any additional costs (books, fees, etc.) levied by your school are your responsibility to pay directly to your school. upmc is proud to assist in furthering your education. If you have any questions regarding this advancement letter or the upmc Tuition Assistance Program, contact the upmc Employee Service Center at 1-800-994-2752, option 3. Contact your school if you have any questions regarding any matter related to your enrollment. Regards, upmc Employee Service Center , Tuition Assistance To: ~ -ME!.rcy Hqspital 'School of Nursing. This Employee of upmc is eligible for Tuition advance as part of upmc 's corporate sponsorship program with Mercy Hospital School of Nursing.

8 Semester: 14FA Amount Paid: $2, By signing and presenting this advancement letter, this student has agreed to the terms of the upmc Tuition Assistance policy. In addition to this advancement letter, upmc maintains an original signed and dated request form completed by this student which includes a waiver. The waiver authorizes release to upmc any financial and account information such as grade reports, payment details, and any other information related to classes sponsored by upmc for the purpose of determining the student's qualifications for Tuition Assistance provided by upmc . Please note: If non-repayable grants are awarded to the student for the Tuition covered under this Tuition advance, refunds are to be sent to upmc , Attn: Tuition Assistance Office. This advancement covers Tuition charges only. Fees, books, and other charges are solely the responsibility of the student. This letter is void if not submitted within 30 days after the semester starts.

9 Employee Acknowledgement: By signing and presenting this advancement letter to the billing office at my school, I acknowledge I have read, understand, and agree to the information and terms contained in this letter and the upmc Tuition Assistance Guidelines. By accepting this sponsorship, I authorize release of any information about my enrollment, including my grades, registration status, account details, and other data, to the upmc Employee Service Center as necessary to administer the upmc Tuition Assistance program. I understand if my eligibility changes or I do not successfully complete a course, I am responsible for repaying to upmc amounts advanced on my behalf. Employee /Student Signature: Date: Student ID Number: _____ ~This is the identification number assigned to you by your school.) 00147817 upmc upmc Employee Service Center Steel Tower, 600 Grant Street, 56th Floor Pittsburgh, PA 15219 Shar'da Brooks 587 Mount Vernon Dr Pittsburgh, PA 15223 upmc Tuition Assistance - Advancement Letter 8/18/2016 This letter serves as verification of your current eligibility for Tuition advancement.

10 Read the information below and acknowledge your understanding by signing where indicated. Your next step is to present this letter to the student accounts office at your school within 10 business days. Your school will bill upmc for this portion of your charges and remit your grade report to upmc at the end of the term to confirm successful completion of your coursework. Any additional costs (books, fees, etc.) levied by your school are your responsibility to pay directly to your school. upmc is proud to assist in furthering your education. If you have any questions regarding this advancement letter or the upmc Tuition Assistance Program, contact the upmc Employee Service Center at 1-800-994-2752, option 3. Contact your school if you have any questions regarding any matter related to your enrollment. Regards, upmc Employee Service Center , Tuition Assistance To: Student Accounts -OPMC Mercy Sch()ol of Nursing This Employee of upmc is eligible for Tuition advance as part of upmc 's corporate sponsorship program with upmc Mercy School of Nursing.