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$ _______________
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PRIMARY ELECTION TRAINING EXPENSES
TRAVEL REIMBURSEMENT FORM
TEXAS ADMINISTRATIVE CODE, §81.126
(Please Type or Print Information)
Document No.
COUNTY PARTY
COUNTY CHAIR’S NAME TRAVELER’S NAME
(If different)
COUNTY CHAIR’S MAILING ADDRESS__
CITY TEXAS ZIP CODE
CHAIR’S WK PHONE (_____) ________ CHAIR’S CELL/HM PHONE - Required (_____)
CHAIR’S E-MAIL ADDRESS - Required FAX (____)
https://fmx.cpa.state.tx.us/fm/travel/travelrates.php
Travel Expense
Departure city: ____________________to Austin Automobile mileage
roundtrip miles
@ .
58¢ per mile (per state mileage guide )
Roundtrip Air Fare to Austin (receipt required) $
SOS Use Only
Travel Expense (Mileage or Air Fare computed from above)......................................................... $_________________
Hotel ($145.00 max. plus tax, receipt required)................................................................................. $__
Airport Transfers or Parking (receipt required) ......................................................................... $_________________
Total Cost ................................................................................................................................ $_________________
Secretary of State Approval
______________________________________________
I, ____________________________________________________________, County Chair of the
_______________________ Party in __________________________ County, Texas, do solemnly swear that
the foregoing facts and costs are true and accurate costs of attending the Secretary of State’s Biennial Election
Law Seminar for County Chairs.
County Chair: __________________________________
Date: _
The State of Texas
County of __
Please Return to: Secretary of State, Election Funds Management, P. O. Box 12060, Capitol Station, Austin, Texas 78711-2060
or fax to 512.463.7552.
PRIMARY ELECTION TRAINING EXPENSE GUIDELINES:
Travel is covered for one person from each county’s party or that chair’s designee with the chair’s signature.
Mileage: Calculate the number of miles traveled by using your vehicle odometer or the approved MapQuest mapping website times
the current rate per mile found at: https://fmx.cpa.state.tx.us/fm/travel/travelrates.php.
The current state rate for hotel rates per night in Austin is $145 plus applicable taxes.
Overnight lodging for two nights
is approved for counties that are more than 200 miles distant from Austin per MapQuest.
Non-Payable expenses for the county chair seminar are meals, beverages, tips, valet parking, and car rental unless prior
approval has been received.
All travel forms must be submitted within 60 days of travel for reimbursement.
