MH 2019-20 Overnight Staff Travel Conference Request

	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
4				Fiscal Year	2019-2020
5	Conference Information
6
7	Today's date				Building
8					Position
9	Employee				Dates Held
10	Conference Title
11	Conference Sponsor (Vendor)
12	Conference Location (City and State)
13
14	Estimated Expenses					Actual Expenses
15	Effective Mileage rate 1/1/2019
16	Mileage	0.00	Miles @ .58/mile		$ -	Mileage	0	Miles @ .58/mile		$ -
17		From	Home			*include Mapquest or Google Map
18	Other Travel:				$ -	Other Travel
19						Registration
20	Registration:	prepaid	purchase	need to be	$ -	*include PAID receipt OR Confirmation if invoiced
21	(circle one)		card	registered		Meals
22	Other	Hotel			$ -	*include Agenda to document request for meal reimbursement
23						Lodging	two nights			$ -
24						Other	Per Diem			$ -
25
26	Total Estimated Expense				$ -	Total Acutal Expense				$ -
27	Prepaid registration requested						Less:
28	Date		Vendor #				Prepaid Check			0
29	*Include invoice for vendor						Purchasing Card			0
30
31						Total Employee Reimbursement				$ -
32	Meal Per Diem	8	12	30
33	Date	B	L	D	Meal Total	Acct #
34					$ -				$	0
35					$ -	Acct #
36					$ -				$
37					$ -	Acct #
38					$ -				$
39					$ -
40					$ -	Must Match Total Actual Expense				$ -
41					$ -
42	Approval for Attendance					Approval For Actual Expense/Reimbursement
43
44						Employee				Date
45	Principal/Director				Date
46						Principal/Director				Date
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48	Superintendent				Date	Superintendent				Date
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50						Business Office Authroization for Payment				Date
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52	Forms that are incomplete or missing backup will be returned.
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