, Par THIS FORM MUST BE THE FIRST PAGE OF YOUR FAX | 42508 Processing Request Form / Cover Sheet reaexina [0110/0] - [0]0/0/0} - [07 10/8} - [4/616 /4 Company: UPS Education Assistance Program Name: CHRISTOPHER RUIZ Term Dates: 02/24/09 06/11/09 Approved Courses: 124112 FIRES 124114 FIRES. This page will serve as the fax cover sheet for the course documentation that you are sending us. This sheet ‘must be the first page of the fax package that you send. You need to include all of the documentation that your companys policy requires for reimbursement. This may include receipts that verify the tuition and fees that you are seeking reimbursement for and copies of the grades or completion document you received from the school. To obtain the status of this request please access www.trackmystatus.com using the above Tracking #. Please note: Only one Payment Request will be processed for each application, so itis important that you enter all reimbursable amounts for this application. No additional Payment Requests will be considered for this application, DO NOT WRITE ON THIS FORM e e PE x riemer: (248) 732-1300 “* Keep a copy of all documents for your records 001