GarrettEDU Expense Reimbursement Form

GARRETTEDU EXPENSE REIMBURSEMENT FORM

Build your career here and invest in our company's future, and we will invest in your family's future through education.

The Garrett Companies relentlessly pursues excellence and encourages that mindset, passion, and drive in all our team members. Investment in team members (including their families) is a core value of our company. Our successes year after year have enabled us to create an Educational Reimbursement Fund (GarrettEDU) for team member dependents. GarrettEDU is a first of its kind premium benefit that we are thrilled to unveil and offer to our team. Regardless of what your child’s life passion and field of study may be, we want to support them and their future goals. GarrettEDU provides support for the secondary education of our team’s dependents, whether that be to attend college, university, or trade school.

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FIRST NAME

LAST NAME

DATE OF REQUEST

REQUEST FOR EDUCATIONAL REIMBURSEMENT

I am requesting the reimbursement correlated with the following completed year of employment:

6 years - Up to $10,000 Annual Maximum

7 years - Up to $15,000 Annual Maximum

8 years - Up to $20,000 Annual Maximum

9 years & beyond - Up to $25,000 Annual Maximum

ENTER THE TOTAL AMOUNT BEING REQUESTED FOR THIS SUBMISSION

If your total amount requested exceeds your eligible benefit for this current employment year, you will be contacted by a member of HR.

REQUIRED DOCUMENTATION

NOTE: All statements must be legible and clearly show billing, enrolled student information, and paying parties. Only billings directly from the identified educational institution that clearing identifies enrolled student of record will be reimbursed.

Proof of curriculum registration by documentation generated by the educational institution:

Itemized billing statement from institution showing amount billed, date of billing, amount paid, and date of payment(s):

Copy of check, banking account statement, or other means showing payment for billings, and the date of those payments. Payment amount must match billing statement in terms of amounts, dates, and payees:

REQUEST FOR EDUCATIONAL REIMBURSEMENT

I elect to have the following 401(k) contributions deducted from my reimbursement:

6 years - Up to $10,000 Annual Maximum

7 years - Up to $15,000 Annual Maximum

8 years - Up to $20,000 Annual Maximum

9 years & beyond - Up to $25,000 Annual Maximum

401K DEFERRAL ACKNOWLEDGEMENT

If % of 401(k) or % of Roth was selected above, please indicate % amount or $ money amount below:

By typing submitting this form, you are certifying that all information provided is true an accurate to the best of your ability. You are also acknowledging The Garrett Companies' Employer Rights. Like all voluntary benefits, this program is subject to change in terms of scope, duration, amounts, criteria, and qualifications. This program, its existence, and employee enrollment into such is no guarantee of benefits. This program is not transferable. All details in this program are subject to change and The Garrett Companies reserves the right to do such without notice. Employees waive all rights of dispute in matters regarding this program and it implied benefits. Enrollment into this program requires confirmation of these employer rights.

Your submission is being processed by TGC Human Resources.