Request to be Invoiced…
Thank you for your interest in taking Workforce Solutions classes. Payment is required at registration; however, we can invoice companies and organizations but need your permission to do so.
Workforce Solutions is part of Laurel Ridge Community College who will actually invoice your company/organization. To do so, we need an “Authorization to Bill”. Below the line is a sample Authorization Form.
Please provide the required information (in blue) so we can invoice your company/organization. Three options:
1.	1.	Copy and paste into (or recreate) an email and email to tthornhill@lfcc.edu; or
2.	2.	Copy and paste into (or recreate) a company letterhead / blank paper, sign, and fax to us at (540) 868-7020; or
3.	3.	Copy and paste into (or recreate) onto a company letterhead / blank paper, sign and mail to us at the address on the form (below).
Change blue copy to black. If they are taking multiple classes, please use one form per class. Add students as necessary if there are more than five.
We would also ask that you call our office at (540) 868-7021 to advise us how and when you are submitting this form so we can be prepared to receive it. If you have any questions, please contact us at (540) 868-7021. We’ll be happy to assist you

DATE: Month, Day, Year 
Laurel Ridge Community College
Workforce Solutions and Continuing Education
ATTN: Course Registration
173 Skirmisher Lane
Middletown, VA  22645

Authorization to Bill for Laurel Ridge Workforce Solutions Classes
This letter serves as authorization for Laurel Ridge Community College to invoice our company for the following students who are taking classes:

TOTAL TUITION COST TO BE BILLED:  $1,795 / person 

CLASS: Leadership Basecamp Page Co Fall 2022    starts - 9/29/22
	Employee’s Full/Legal  Name	Date of Birth	Employee’s Email Address	Employee’s Direct Phone #	VCCS EmpID or Last 4 digits of SSN	
1						
2						
3						

Our Company/Organization Federal Identification Number (EIN or FIN) is: ##-#######
	
Please mail the invoice to the following address:
Your Company Name
ATTN: Accounts Payable

Your Street Address	
Your City, State, Zip
Your Phone Number
Your Fax Number

Authorization by:
NAME: 	Authorized Contact person at your company
TITLE: 	Authorized Contact person’s title
PHONE:	Authorized Contact person’s direct phone number
EMAIL: 	Authorized Contact person’s email address