BATAVIA PUBLIC SCHOOLS
TRAVEL/EXPENSE CLAIM FORM
NAME:
DATE:
BUILDING:
2014
NAME OF CONFERENCE &
REGISTRATION
MILES
MILEAGE
MISC (EXPLAIN
TOTAL
DATE
LOCATION
FEE
TRAVELED .56/MI.
MEALS
LODGING
ON BACK)
TOLLS
COSTS
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
ACCOUNT CODE:
$0.00
NOTES:
*If traveling between schools, please refer to 'distances between schools' chart.
*Sales tax is not reimburseable as we are a tax-exempt organization.
*Itemized receipts for all expenses other than mileage must be attached.
*Mileage includes reimbursement for fuel.
*Even if not submitting for reimbursement, personal items cannot be included on receipts - please ask for separate receipts.
*Please submit forms in a timely manner.
I certify that all expenses claimed above were necessary and actually expended for official and approved business of BPS 101.
Signature:________________________________________
Date:_______________
Approved by:______________________________________
Date:_______________