Employee tuition reimbursement request with pre-approval, IRS Section 127 benefit limits, repayment obligation if employee leaves within the clawback period, and pro-rated repayment schedule.
The Tuition Reimbursement Request & Repayment Agreement is a ready-to-use employment & hr template you can send for signature in minutes. It is written for 2 signers (employer and employee) and, by default, expires 30 days after it is sent if left unsigned. It covers tuition reimbursement, education, repayment, irs section 127, clawback. Like every Abundera Sign template it is a convenience draft structured for ESIGN Act and UETA compliance, not a substitute for legal advice. Each signed copy is sealed with PAdES-LTA digital signatures, dual RFC 3161 timestamps, and a tamper-evident evidence package in WORM storage.
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# Tuition Reimbursement Request & Repayment Agreement This Tuition Reimbursement Request & Repayment Agreement ("Agreement") is entered into between the employer and employee identified below. Submission of this form constitutes a request for pre-approval of educational assistance and an agreement to the repayment terms set forth in Section 5. --- ## Section 1 — Parties **Company Name:** ___________ **Employee Full Name:** ___________ **Employee ID:** ___________ **Department:** ___________ **Direct Manager / Supervisor:** ___________ **Original Hire Date:** ___________ **Employment Status:** ___________ --- ## Section 2 — Course & Program Details **Educational Institution:** ___________ **Program or Degree Name:** ___________ **Course Name(s):** ___________ **Term / Semester:** ___________ **Course Start Date:** ___________ **Course End Date (Expected):** ___________ **How does this course or program relate to your current role or a future role within the company?**