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THREE RIVERS/JOSEPHINE COUNTY SCHOOL DISTRICT
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TRAVEL AND EXPENSE REIMBURSEMENT REPORT - EFFECTIVE 1/1/2026
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Name of Claimant:Employee NumberVendor #
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Address/City/Zip Code:School/Location
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Period Covered:From:To:Date Submitted:Charge to Fund:Account Code
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DateTravel DestinationMileageAuto Expense @.725 per mileLodgingMealsOther/ Misc ExpensesTotal ExpensesPurpose of Expenditure and/or Topic of Meeting (If paid for additional Persons List Persons other than Self)
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FromTo
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Total Expenditures - - - - -
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Submitted by:District Office Approval:
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Supervisor Approval:Total Owed Claimant or Due to District -
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All receipts must be attached, substantiating request for reimbursement. Form must be completed totally. If not preprinted on receipt, write name of restaurant on meal receipts and itemize meals. If more than $16 for breakfast, $18 for lunch and $28 for dinner is expended, please attach an explanation and rationalization. If you paid for persons other than yourself, please list individual names and positions (attach additional page if necessary.)
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TRSD Form FSS 800 Revised 1/1/2026
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