STATE ZIP
DATE
Amount:
(COMPLETE ACTUALS AFTER TRAVEL)
EST. COST Sun.____ Mon.____ Tue.____ Wed.____ Thu.____ Fri.____ Sat.____ TOTAL
MILEAGE #
-
-
-
-
- - - - - - - - -
LESS Amt Paid by Advance/CalCard:
-
Account #
Account #
SIGNATURE OF EMPLOYEE
(To to be signed after expenses are itemized/authorized for payment.)
San Luis Obispo County Community College District
Conference Request/Travel Reimbursement Form
PURPOSE OF TRAVEL
(ATTACH ADDITIONAL PAGES, IF NEEDED)
ITEM
PRE-EVENT APPROVAL
Approvals: I find that the proposed travel meets the requirements of District policy and is consistent with the scheduling of any conference or training session to the attended.
DIVISION CHAIR/DIRECTOR DATE
MEALS ALLOWANCE: BREAKFAST ($11)
CONFERENCE REGISTRATION/FEES
TRANSPORATION EXPENSE: AIRFARE,
SIGNATURE OF ADMINISTRATOR
SIGNATURE OF BUDGET OFFICE
* Total expense should not exceed Maximum $ Allowed.
INCIDENTALS ($5)
TAXI, PARKING, ETC.
I hereby certify under penalty of perjury that:
1. I departed at ______ am/pm on ___/___/___and returned at ______ am/pm on___/___/___.
2. The above is an accurate accounting of my incurred expenses while in travel status.
3. The expenses claimed are not reimbursable to me or to the District from any other source.
4. My personal vehicle used for district business has the minimum insurance requirements required by
law under the State of California and I carry a valid driver's license (if applicable).
I have attached the following receipts/documents to
support my reimbusement:
•Conference brochure or meeting agenda
•Itemized lodging bill showing zero balance
•Conference registration
•Rental car, gasoline or mapped route for mileage
•Parking, Taxi, other
(MEAL RECEIPTS NOT REQUIRED, AS OF 7/1/19, unless
required by funding agency)