Page 8 - Employee Recognition Program (220325)

BERNARDON EXPERIENCE VOUCHER REQUEST FORM
(updated 3/25/2022)
Once an employee plans an experience, they should complete an Experience Voucher Request Form and submit
to the Director of Studio for the office in which the employee works. Upon approval, the monetary value of the
Experience Voucher will then be available in the form of compensation in an employee’s paycheck. Within 30
days of completion of the experience, it is required that receipt(s) associated with the completed
experience(s) are submitted to the Payroll and Benefits Coordinator.

Employee Name: Milestone:

Experience Start/End Date: Voucher Value:
Description of Experience:

Estimated Actual Receipt
Experience Expense(s)
Cost Cost Submitted

Total Expense(s)
(Attach to this Request Form any additional information, documentation, receipts, etc., as necessary.)

I understand the policies governing the use of a Bernardon Experience Voucher. I also understand that if I do not abide by
the policies, I will be responsible for reimbursing Bernardon for the value of the issued Bernardon Experience Voucher or
the remaining balance thereof.

Employee Signature Date

Office Use Only

Date Request Received: Date Value of Voucher Disbursed:
The policies governing the use of a Bernardon Experience Voucher have been fulfilled by the Employee as outlined above.

Approved By President: Date:

Approved By Director of Studio: Date: