Ease into Legacy: Professional Development Funding Request Form

Use this form if you plan to use your organization’s professional development or wellness funds to cover your enrollment in Ease into Legacy. Once submitted, you’ll receive a confirmation email and an itemized receipt or invoice for your employer.

Name

First Name

Last Name

Phone

Country

(###)

###

####

City / Time Zone

So we can align our schedules easily.

What is the name of your organization?

What is your job title/professional role?

Type of Funding You’re Using:

Amount Requested for Reimbursement or Coverage:

Preferred Documentation:

Itemized Invoice

Certificate of Completion

Receipt Only

Other

What is your mailing or email address for employer documentation?

(If same as email provided above, please put N/A)

Additional Notes or Instructions:

(For example: “Please list my manager on the invoice” or “We require W-9 documentation.”)

Ease into Legacy: Professional Development Funding Request Form

Thank you! Your request has been received.