LETRS Facilitator Certification Renewal Reimbursement Form

LETRS Facilitator Certification Renewal Reimbursement Form
The North Dakota Department of Public Instruction is pleased to offer reimbursement for costs associated with renewing LETRS facilitator certification.

Districts may submit for reimbursement by completing the required reimbursement form and providing a copy of the paid invoice.

To ensure timely processing, please submit reimbursement requests by June 15, 2026.

This support is intended to help districts sustain local capacity for high-quality literacy professional learning through certified LETRS facilitators. We appreciate your continued commitment to strengthening literacy outcomes for all students.

If you have questions regarding the reimbursement process, please contact blehrmantraut@nd.gov.
District Information
District:
Primary Contact Information
Name:
Title/Role:
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
LETRS Facilitator Information

Please complete one form per facilitator.
Name of Facilitator 1:
Facilitator Email
example@example.com
Certification Area (check one)
Reimbursement Details
Amount Requested for Reimbursement:
Attach Invoice

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Training Impact
Please indicate the number of educators trained by this facilitator in the 2024-2025 school year:
Please indicate the number of educators trained by this facilitator in the 2025-2026 school year:
Future Training Needs
Please describe anticipated LETRS training needs within your district (e.g., number of educators to be trained, additional facilitators, projected timeline):

0/500
Please print and complete the attached Expense Claim for Non-department Employees (SFN9007), entering the reimbursement amount under Miscellaneous.
Please upload completed and signed Expense Claim for Non-department Employees (SFN9007).

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Should be Empty:

LETRS Facilitator Certification Renewal Reimbursement Form

District Information

Primary Contact Information

LETRS Facilitator Information

Reimbursement Details

Training Impact

Future Training Needs