Supreme Court of Nevada
Expenditure Request for Education, Training or Travel
Name: Title:
Court: Dept/Div:
Name of Event:
(Attach event brochure, agenda, description, invitation, etc.)
Sponsor:
# of Education Credits Offered:
CLE CE
Other:
Destination:
Event Dates: From:
Travel Dates: From:
to:
to:
On behalf of:
Assigned ER/PO #
Revised 06/2019
REQUIRED COURSE
JUSTIFICATION: Explain how attendance at this event will benefit you and/or your court
3. Deputy Director:
(if applicable)
5. Final Approval:
2. Supervisor/Manager:
(if applicable)
Expenditure coding:
4. Budget Review:
(funding is available)
1. Requestor:
APPROVALS/ROUTING:
*Meals that exceed the GSA rates listed above, require a receipt to be reimbursed and cannot exceed the GSA rates for the destination. Receipts are required to be
reimbursed for lodging. The amount reimbursed for lodging cannot exceed the GSA rate for the destination unless the traveler stays at the hotel where the event is held
and the event offers special room rates. If the event is not held at a hotel, the traveler must contact three hotels and obtain the most reasonable rate if unable to find a hotel
at the GSA rate. Allowable GSA rates are found at www.gsa.gov.
State employees only: Is an advance for the costs of 2 or
more nights lodging & ground transportation requested?
Yes No
3. TOTAL ALL COSTS:
Other Travel Description & Cost:
Airfare (refer to travel policy for reimbursable fares):
# of Days:Parking (Only long-term parking will be reimbursed. Requires a receipt to be reimbursed.):
# of Miles:Mileage enter # of miles (.58 for state convenience rate or .29 for personal):
# of Miles:Motor Pool (State employees only. Estimate $29 per day + .17/mile.):
Ground Transportation (Car rental, shuttle, taxi, etc. Requires a receipt to be reimbursed.):
Lodging (Requires a receipt to be reimbursed): GSA* Rate (include tax & fees): # of Nights:
Per Diem Meal Total:
Dinner enter days & rate: # of Days: GSA Rate:*
Lunch enter days & rate: # of Days: GSA Rate:*
GSA Rate:*# of Days:Breakfast enter days & rate:
# of Days:
Incidentals (For tips. $5 per day. No receipt required):
2. HOW MUCH WILL IT COST TO TRAVEL TO THE EVENT?:
Registration/Tuition/Conference Fee Total (requires a receipt and a certificate of attendance to be reimbursed):
ELECTIVE COURSE* BOARD/COMM MEMBER*
*ELECTIVE COURSES AND BOARD/COMM MEMBER EXPENSES CANNOT EXCEED A COMBINED $2,000 IN THE FISCAL YEAR
1. HOW MUCH WILL IT COST TO REGISTER FOR THE EVENT? ARE THERE OTHER COSTS BESIDES TRAVEL COSTS?:
Acct Rcvd Date:________________
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