East End School District Meal Allotment Form In State Out Of State
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1East End School District Meal Allotment Form
Employee Name: __________________________________________________
Location and Event: _______________________________________________
IN STATE
Date
Meals
Total
B ($5)
L ($8)
D ($12)
B ($5)
L ($8)
D ($12)
B ($5)
L ($8)
D ($12)
B ($5)
L ($8)
D ($12)
B ($5)
L ($8)
D ($12)
B ($5)
L ($8)
D ($12)
B ($5)
L ($8)
D ($12)
Total:
Circle all that apply
OUT OF STATE
Date
Meals
Total
B ($7)
L ($12)
D ($16)
B ($7)
L ($12)
D ($16)
B ($7)
L ($12)
D ($16)
B ($7)
L ($12)
D ($16)
B ($7)
L ($12)
D ($16)
B ($7)
L ($12)
D ($16)
B ($7)
L ($12)
D ($16)
Total:
Circle all that apply
Policy 7.12 (adopted 8/11/14 board meeting)
Meals may be reimbursed for travel which necessitates an overnight stay when submitted according to the
dictates of this policy. Reimbursement shall be prorated based on the percent of a day the employee is away on
travel. For example, if an employee returns from his/her travel in the afternoon, he/she is only eligible for
reimbursement for breakfast and lunch expenditures. Except as otherwise specified by policy, meals shall be
reimbursed at a per diem rate of:
*
Out of state meals $35.00 ($7.00 breakfast, $12.00 lunch, $16.00 dinner)
*
In state meals $25.00 ($5.00 breakfast, $8.00 lunch, $12.00 dinner)
Tips are not allowed if an employee is reimbursed using a "per diem" plan.
________________________________________
____________________________________________________
Employee
Principal
________________________________________
____________________________________________________
Superintendent
Fund
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