TUITION REIMBURSEMENT APPEAL
Montgomery County Public Schools
Office of Human Resources and Development
45 West Gude Drive, Rockville Maryland 20855
Please complete and email to
tuitionreimbursement@mcpsmd.org
Date Received: ________ Response Due: ________
Returned to Employee: ________
Approved: Not Approved:
Instructions: All appeals must be submitted to the tuition reimbursement unit. The processor will research transaction
history and submit the appeal to the fiscal specialist. The fiscal specialist will review for completion and submit to the
Chief of Human Resources and Development for final review and decision. Decision and rationale will be returned to
the employee within 2 weeks of submission.
Date: Employee ID#
Last Name: __________________________________, First Name: ______________________________
Union affiliation: MCAAP MCEA SEIU
Current MCPS Position: ____________________________ Work Location: _________________________
Type of appeal: Appealing denial for reimbursement of a specific course
Appealing denial for accelerated tuition reimbursement
University: ______________________ Program / Salary Lane Advancement: _____________________
Course name: __________________________ Transaction number: ____________
Reason provided by tuition reimbursement unit for denial:
Missed Deadline __ Ineligible Course __ Tuition was paid by someone other than employee
Ineligible Grade Other Program ineligible for accelerated tuition reimbursement
Please explain why your appeal should be approved:
Employee Signature _____________________________
Date: __/__/____
OHR
D Comments:
Signature: ________________________________
Date:__/__/____
Office of Human Resources and Development
