Matching Training Incentive Program Application

The Preferred TIPS program is a reimbursement program with matching training/safety incentives that can be applied for by any current member of Preferred. Each entity is eligible to apply for a matching incentive of up to $5,000 per coverage year subject to availability of program funds. Examples of eligible reimbursements include: personal protective equipment, safety related signs, ADA compliance measures, police accreditation program fees, driver training, ergonomic training, sidewalk repairs, continuing education classes. Most safety and/or risk management related training or equipment is eligible. The committee will determine the relevance of the safety/risk management purchase against the lines of insurance coverage purchased by the member. The committee will also consider the information provided in the application. Your loss control representative can assist with questions related to this program.

Completed applications and required documentation (invoices and proof of payment) must be received by PRU fifteen days prior to the end of your policy year.
Pre-Approvals will not be granted. You must be in possession of any items and/or have completed all trainings to be eligible for consideration.
The Board of Trustees approves funding of the TIPS program annually and submissions will be considered on a first in basis.

Member Organization Name:

Member Contact Name and Title:

Contact Phone #:

Contact Email:

Matching dollar amount being applied for by member applicant (50% of the cost up to an annual policy year maximum of $5,000):

Please describe what you have purchased and what the items will be used for. Items submitted for reimbursement must have safety/risk management value and directly relate to the lines of insurance coverage that the member has in place with Preferred:

PLEASE NOTE:

Documentation of the purchase(s) must be attached.
Proof of purchase information must correspond to the invoices provided.
For privacy purposes, please do not include any credit card account numbers or social security numbers.

Items purchased should be listed in the box below. If submitting several items for reimbursement please attach an Excel spreadsheet to your submission.

Name of person submitting:

Title of person submitting:

Date application submitted:

Matching Training Incentive Program Application

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