ABCDEFGHIJKLMNOPQRSTUVWXYZ
1
WALKER COUNTY BOARD OF EDUCATION EMPLOYEE EXPENSE STATEMENT
2
3
NameLast 4 digits of SS#School/OfficeMonth
4
5
Mailing Address
6
7
LOGISTICAL INFORMATIONTRANSPORTATIONMEALS AND LODGINGOTHER
8
OdometerSystem Other
9
Actual Time of:Reading:(-)TotalUse Transp.
10
Departure/Origin/DestinationBeginning/PersonalReimbursableMileageParking,DailyOtherMemo
11
DateReturnConference/Workshop:EndingCommuteMiles$.76 per mileTaxi, etc.BreakfastLunchDinnerTotal LodgingExpensesfor Other
12
-
13
0.0 -
14
-
15
0.0 -
16
-
17
0.0 -
18
-
19
0.0 -
20
-
21
0.0 -
22
-
23
0.0 -
24
-
25
0.0 -
26
-
27
0.0 -
28
-
29
0.0 -
30
-
31
0.0 -
33
TOTALS0 - $ - $ - $ - $ -
34
0
35
Total Transportation, Meals, Lodging and Other Expenses
36
I do solemnly swear, under criminal penalty by law, that the above statements are true and I have incurred the described expenses and the business use mileage in the discharge of my official duties for the Walker County Board of Education. $ -
37
38
39
Meals on the day of departure and day of returned are capped at a maximum of $37.50 per day. You must attach a conference brochure or agenda when meals are claimed and for all over-night travel. If lodging exceeds $96 per night per person, you must attach an "Excess Lodging Reimbursement Form." Please attach ALL required receipts. Not attaching the required documentation will result in a delay of processing your reimbursement.
40
SIGNATURE OF EMPLOYEEDate
41
42
43
SOURCE OF FUNDINGOTHER EMPLOYEE TRAVELED WITH
44
45
46
SUPERVISOR APPROVALDateOTHER EMPLOYEE SHARED LODGING WITH
47
48
49
OTHER APPROVAL AS REQUIREDDatePURPOSE OF TRIP
50
51
Walker County Board of Education, PO Box 29, LaFayette, GA 30728, (706) 638-7983F.S. 18; Revised 8/2026
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101