Travel Reimbursement Form 1-2026.xlsx

	A	B	C	E	G	H	I
1	Mandan Public Schools
2	Travel Expense Reimbursement Request 1. Employee completes expenditure report and attaches supporting documents/receipts. 2. Building Administrator reviews request for accuracy and takes appropriate approval action. 3. Building Administrative Assistant submits to Business Office with account code to be processed for reimbursement.
3	Name		Position/Building			Month/Year
4
5	Day	Explanation of Travel (Include person or place visited. Describe misc. expenses)			Miles	Meals	Miscellaneous Travel Expenses
6	1
7	2
8	3
9	4
10	5
11	6
12	7
13	8
14	9
15	10
16	11
17	12
18	13
19	14
20	15
21	16
22	17
23	18
24	19
25	20
26	21
27	22
28	23
29	24
30	25
31	26
32	27
33	28
34	29
35	30
36	31
37	I certify the expenses claimed are factual and do not represent any duplication.
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39				Total Miles:	0.00	$0.725	$0.00
40
41		Employee Signature	Date:	Meal Total:			$0.00
42
43				Misc. Total:			$0.00
44
45		Supervisor Signaure	Date:
46				Grand Total:			$0.00
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48		Account Code
49
50	GENERAL INSTRUCTIONS
51		1. All requests for travel expense reimbursement must be made using this form.
52		2. Submit forms monthly; only one form per calendar month.
53		3. Please DO NOT submit requests less than $5; instead, accumulate requests until they total $5 or more, or submit in December and/or May.
54		4. All information on request NEEDS to be legible.
55	IN-STATE TRAVEL
56		1. Personal vehicle mileage is reimbursed at $.725 per mile.
57		2. Per diem meal allowance: (receipts are not required for meal reimbursement)
58		 Breakfast – leave prior to 7 am, or return after 7 am $16.00
59		 Lunch – leave prior to 12 Noon or return after 12 Noon $19.00
60		 Dinner – leave prior to 6 pm or return after 6 pm $28.00
61		 Full day – leave prior to 7 am and return after 6 pm $63.00
62		3. Lodging: (requires overnight stay)
63		 With approval from supervisor, use building pcard to book lodging.
64	OUT-OF-STATE TRAVEL
65		1. Personal vehicle mileage is reimbursed at $.725 per mile up to 300 miles past North Dakota border.
66		2. Per diem meal allowance dependent upon destination. Please contact Business Office prior to travel to determine rate. Meal receipts not required.
67		3. Lodging: (requires overnight stay)
68		 With approval from supervisor, use building pcard to book lodging.
69	MISCELLANEOUS TRAVEL EXPENSE
70		Receipts are required for all miscellaneous expenses including transportation, baggages fees, parking
71		fees, fuel etc.
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