Travel Expense Voucher 2018
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EASTMONT SCHOOL DISTRICT
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TRAVEL EXPENSE VOUCHER
CONFERENCE/REGISTRATION INFORMATION
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NAME OF CLAIMANT
MONTH/YEAR
OFFICIAL RESIDENCE
OFFICIAL WORK STATION
PRIOR APPROVAL IS REQUIRED IF YOUR LODGING AND/OR TRAVEL DATES ARE MORE THAN ONE DAY BEFORE OR AFTER EVENT!!
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East WenatcheeEast WenatcheeEvent/Purpose:
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SECTION 1: TRIP INFORMATIONSECTION 2: MEALS AND LODGING REIMBSECTION 3: MILEAGE REIMB
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LOCATIONTRIP TIMEPER MEAL ENTITLEMENT
Dates of Business Travel:
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DATEFROMTODEPARTRETURNBREAK-FASTLUNCHDINNERLODGING PO #LODGING COSTS INCURREDMILES DRIVENREIM-BURSE-MENT RATEMILEAGE REIMBGRAND TOTALPURPOSE OF TRIPPPSS-AA-O1BB-LLl-NNNNRegistration Information: Meals Included in Registration (use B, L, or D to identify meal provided)
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East Wenatchee
0.5800.000.00Reg Paid To:AmountSunMonTuesWedThursFri Sat
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0.5800.000.00
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0.5800.000.00
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0.5800.000.00
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0.5800.000.00
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0.5800.000.00
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0.5800.000.00
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0.5800.000.00
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0.5800.000.00OTHER EXPLANATION/COMMENTS:
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Sub-Total0.00
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Other (Sect 4)0.00
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Less Advance TravelClaims invloving Advance Travel are due 10 working days following the end of the trip.
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TOTAL0.00
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PLEASE COMPLETE REVERSE SIDE IF YOU ATTENDED A CONFERENCE
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SECTION 4: DETAIL OF OTHER EXPENSE
INSTRUCTIONS (Please attach Prior Approval for Travel Form/Advance Travel Request if one was completed)
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DATEDESCRIPTIONAMOUNTSECTION 1: Trip Information-For each trip complete the date; departure point; destination point; departure time; and the return time. If the trip terminates on a date different than the departure date, complete the return time only on the date actual returned.
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SECTION 2: Meals and Lodging-A set amount may be claimed for breakfast, lunch, and dinner when the employee is in a travel status three (3) or more hours outside of their normal (i.e. 8 a.m.-5 p.m.) workday during the established meal period and actually incurs expenses for meals. Established meal periods are as follows: Breakfast 7:00 a.m.-7:30 a.m.; Lunch 12:00 p.m.-1:00 p.m.; Dinner 6:00 p.m. - 7:00 p.m. You must be in travel status during the entire meal period in order to qualify for reimbursement. Actual lodging costs up to the maximum allowed should be claimed under the "Lodging Cost Incurred" column. Lodging costs that exceed the State maximum may be denied. Lodging receipts must be attached, even if costs will be direct billed to the Eastmont School District.
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Subtotal
0.00SECTION 3: Mileage-Reimbursement for use of a private vehicle for business purposes may be claimed by reporting the miles driven. Miles driven multiplied by the reimbursement rate should be entered in the mileage reimbursement column of this section.
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I hereby certify under penalty of perjury that this is a true and correct claim fo necessary expenses incurred by me and that no payment has been received by me on the account thereof.
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SECTION 4: Other Expense-Reimbursement for other authorized expenses related to the travel may be claimed by completing the Detail of Other Expense section and reporting the amount in this section. Please attach itemized receipts and/or description.
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SIGNATURE OF EMPLOYEE
Grand Total: The total of the reimbursable expenses for each day are reported in this column. Total reimbursed will be less any advance travel received.
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APPROVED BY (SUPERVISOR)
DATE
OTHER EXPLANATION/COMMENTS:
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