MH 2017-18 Overnight Staff Travel Conference Request-1-1-17

	A	B	C	D	F	H	I	J	L	M
1	OVERNIGHT STAFF TRAVEL/CONFERENCE REQUEST AND EXPENSE REPORT
2	Muskegon Heights Public School Academy System
3	Effective January 1, 2017
4				Fiscal Year	2017-2018
5
6	Conference Information
7
8	Today's date				Building
9					Position
10	Employee				Dates Held
11	Conference Title
12	Conference Sponsor (Vendor)
13	Conference Location (City and State)
14
15	Estimated Expenses					Actual Expenses
16	Effective Mileage rate 1/1/2017
17	Mileage		Miles @ .535/mile		$ -	Mileage		Miles @ .535/mile		$ -
18		From				*include Mapquest or Google Map
19	Other Travel:					Other Travel
20						Registration
21	Registration:	prepaid	purchase	need to be		*include PAID receipt OR Confirmation if invoiced
22	(circle one)		card	registered		Meals
23	Other					*include Agenda to document request for meal reimbursement
24						Lodging
25						Other
26
27	Total Estimated Expense				$ -	Total Acutal Expense				$ -
28	Prepaid registration requested						Less:
29	Date		Vendor #				Prepaid Check
30	*Include invoice for vendor						Purchasing Card
31
32						Total Employee Reimbursement				$ -
33	Meal Per Diem	8	12	30
34	Date	B	L	D	Meal Total	Acct #
35					$ -				$
36					$ -	Acct #
37					$ -				$
38					$ -	Acct #
39					$ -				$
40					$ -
41					$ -	Must Match Total Actual Expense				$ -
42					$ -
43	Approval for Attendance					Approval For Actual Expense/Reimbursement
44
45						Employee				Date
46	Principal/Director				Date
47						Principal/Director				Date
48
49	Superintendent				Date	Superintendent				Date
50
51						Business Office Authroization for Payment				Date
52
53	Forms that are incomplete or missing backup will be returned.
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