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  EASTMONT SCHOOL DISTRICT
  TRAVEL EXPENSE VOUCHER
 
  NAME OF CLAIMANT       MONTH/YEAR OFFICIAL RESIDENCE OFFICIAL WORK STATION      
     
    SECTION 1: TRIP INFORMATION SECTION 2: MEALS AND LODGING REIMB SECTION 3: MILEAGE REIMB      
    LOCATION TRIP TIME PER MEAL ENTITLEMENT                
  DATE FROM TO DEPART RETURN BREAK-FAST LUNCH DINNER LODGING PO # LODGING COSTS INCURRED MILES DRIVEN REIM-BURSE-MENT RATE MILEAGE REIMB GRAND TOTAL PURPOSE OF TRIP PPSS-AA-O1BB-LLl-NNNN
  0.505
  0.505
  0.505
  0.505
  0.505
  0.505
  0.505
  0.505
  0.505
            Sub-Total    
      Other (Sect 4)    
      Less Advance Travel Claims invloving Advance Travel are due 10 working days following the end of the trip.  
                        TOTAL  
      PLEASE COMPLETE PAGE 2 IF YOU ATTENDED A CONFERENCE        
  SECTION 4: DETAIL OF OTHER EXPENSE INSTRUCTIONS (Please attach Prior Approval for Travel Form/Advance Travel Request if one was completed)  
  DATE DESCRIPTION AMOUNT SECTION 1: Trip Information-For each trip complete the date; departure point; destination point; departure time; and the return time.  If the trip terminates on a date different than the departure date,  complete the return time only on the date actual returned.  
   
     
  SECTION 2: Meals and Lodging-A set amount may be claimed for breakfast, lunch, and dinner when the employee is in a travel status three (3) or more hours outside of their normal (i.e. 8 a.m.-5 p.m.) workday during the established meal period and actually incurs expenses for meals.  Established meal periods are as follows: Breakfast 7:00 a.m.-7:30 a.m.; Lunch 12:00 p.m.-1:00 p.m.; Dinner 6:00 p.m. - 7:00 p.m.  You must be in travel status during the entire meal period in order to qualify for reimbursement.  Actual lodging costs up to the maximum allowed should be claimed under the non-high cost column, unless they qualify for high cost area reimbursement.  Lodging receipts must be attached, even is costs will be direct billed to the Eastmont School District.  
   
   
   
   
   
       
  Subtotal   SECTION 3: Mileage-Reimbursement for use of a private vehicle for business purposes may be claimed by reporting the miles driven.  Miles driven multiplied by the reimbursement rate should be entered in the mileage reimbursement column of this section.  
           
  I hereby certify under penalty of perjury that this is a true and correct claim fo necessary expenses incurred by me and that no payment has been received by me on the account thereof.    
  SECTION 4: Other Expense-Reimbursement for other authorized expenses related to the travel may be claimed by completing the Detail of Other Expense section and reporting the amount in this section.  Please attach itemized receipts and/or description.
 
               
  SIGNATURE OF EMPLOYEE     Grand Total: The total of the reimbursable expenses for each day are reported in this column.  Total reimbursed will be less any advance travel received.
   
  APPROVED BY (SUPERVISOR)     DATE     OTHER EXPLANATION/COMMENTS: