Fillable REQUEST FOR TRAVEL REIMBURSEMENT (Rialto Unified School District)

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REQUEST FOR TRAVEL REIMBURSEMENT (Rialto Unified School District)

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REQUEST FOR TRAVEL REIMBURSEMENT
LAST NAME: FIRST NAME:
TITLE:
NAME OF CONFERENCE:
CONFERENCE LOCATION:
CONFERENCE ADDRESS:
CONFERENCE CITY: STATE/ZIP CODE:
CONFERENCE DATE(S):
EXPENSES TO CLAIM:
MEALS-BREAKFAST/$15 DAY: NUMBER OF MEALS X 15.00 =
MEALS-LUNCH/$20 DAY: NUMBER OF MEALS X 20.00 =
MEALS-DINNER/$30 DAY: NUMBER OF MEALS X 30.00 =
MILEAGE: TOTAL MILES DRIVEN (INCLUDE COPY OF DRIVING ROUTE TAKEN):
PARKING FEES (INCLUDE RECEIPTS/TICKETS/HOTEL FOLIO):
TRANSPORTATION (TAXI, UBER, LYFT, SHUTTLE; INCLUDE RECEIPTS):
OTHER (PROVIDE DETAILS/RECEIPTS):
**NOTE:
A HOTEL FOLIO
(
ROOM RECEIPT
)
MUST BE SUBMITTED FOR ALL HOTEL STAYS
–
NO EXCEPTIONS
**
SIGNATURE:
COMMENTS/NOTES:
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REQUEST FOR TRAVEL REIMBURSEMENT (Rialto Unified School District)

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Completed 26 May 2021

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