Form Gov-21-01 - Trustee Travel And Accommodation Expense Claim printable pdf download

Form Gov-21-01 - Trustee Travel And Accommodation Expense Claim

FORM GOV-21-01 TRUSTEE TRAVEL AND ACCOMMODATION EXPENSE CLAIM

_________________________________________________________________________________________________________

MOOSE FACTORY ISLAND DISTRICT SCHOOL AREA BOARD

NAME:

CONFERENCE/EVENT: _______________________________

ADDRESS:

DATE SUBMITTED: __________________________________

TRAVEL AND ACCOMMODATION EXPENSE CLAIMS (provide details and receipts)

Date(s)

Travel To and Return

Purpose of

Registration

Hotel

Meals

Airfare

Taxi/Parking/

of Event

Travel/Expense

Driven

Other

Hotel: Detailed receipts must show the charges per single cost of the room and

_______

Total Km Driven

X Rate per Km. [$ 0.42]

applicable taxes. Private Stay- Reimbursed at $30. per night, with no receipts

required. Meals: Itemized receipts required for Ministry of Education funded

Total Additional Expenses

_________________________

trips :Breakfast- $8.75, Lunch -$11.25, Dinner = $40. NO Itemized receipts

required for Board funded trips :Breakfast--$15.00; Lunch--$20.00; Dinner:

$30.00. Per Diem: $65.00

Total Claim for Reimbursement

Account Code ______ __

Less Advances (if applicable)

I herby certify that the above expenses are correct and were incurred on board-related business

________________________

Signature of Claimant

Required for Approval:

Board Members—Chair of the Board; Chair—Treasurer of the Board

Financial Approval (Signature)

Form Gov-21-01 - Trustee Travel And Accommodation Expense Claim