Fouke Public Schools LEA 4603

Fouke Public Schools LEA 4603

Fouke, Arkansas

REQUEST FOR TRAVEL REIMBURSEMENT

Employees shall be reimbursed for travel expenses incurred while performing duties or attending workshops or other employment related functions, provided that prior written approval for the activity for which the employee seeks reimbursement has been received from the superintendent, principal, or other appropriate designee and that the employees attendance/travel was at the request of the district.

Employee’s Name: ______

Position:______Building/Office: ______

Purpose of Trip (Name of Activity or Training): ______

Destination (City & State): ______

Mode of Travel (personal car, school vehicle, car pooled, other): ______

Departure Date: ______Return Date: ______

Attendance Documentation must be attached to this request!

(Examples: Certificate of attendance, Shoebox Registration, Meeting Agenda, etc.)

Have you signed the leave book in your building office?

Cost: Refer to limitations and requirements listed on back of this form

Date / Meals / Mileage/
Gas Receipts / Lodging
(If not direct billed) / Miscellaneous / Total
Day 1 / $ / $ / $ / $ / $
Day 2 / $ / $ / $ / $ / $
Day 3 / $ / $ / $ / $ / $
Day 4 / $ / $ / $ / $ / $
Day 5 / $ / $ / $ / $ / $
Total / $ / $ / $ / $ / $

Meals – Only original receipts will be accepted

Mileage – Can only claim if vehicle was not available with prior approval. Attach gas receipts if you had to purchase gas.

SIGNATURE OF EMPLOYEE ______DATE ______

MAILING ADDRESS OF EMPLOYEE______

^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^

FOR OFFICE USE ONLY

Date: ______Approved:______Disapproved: ______

Principal or Designee: ______

Superintendent or Designee: ______

Payment Code: ______

Fouke Public Schools LEA 4603

Fouke, Arkansas

REQUEST FOR TRAVEL REIMBURSEMENT

Limitations & Requirements

ATTENDANCE DOCUMENTATION

The employee must list and attach supporting documentation of attendance at the activity, workshop, conference, or meeting. Approval will not be given without documentation.

MILEAGE

The district will reimburse at a rate per mile as approved annually. The district will reimburse for one personal vehicle for each four persons attending the same event. Exceptions may be granted if transportation will be needed at the site to attend meetings at different locations.

Figure mileage: distance one way X 2 (round trip) X current rate = Reimbursed amount

Mileage rate effective February 12, 2018 53.5 cents (.53.5) per mile.

Travel Distance Approved from Fouke, AR - One Way mileage

Texarkana 17 Hot Springs 133

Little Rock 162 Lafayette County 29

Hope 49 Conway 192

Arkadelphia 92 Prescott 51

Magnolia 57 Searcy 220

Mileage for locations not listed must be approved by superintendent.

MEALS

Original itemized meal receipts must be attached to the Request for Travel Reimbursement form. The district will reimburse at a rate of $18.00 per half day and $40.00 per day for meals. Definitions of what constitutes a half day or a full day reimbursement will be consistently approved by the individual supervisor/administrator of the school. Reimbursement will not be approved for alcoholic beverages. Tips will not be reimbursed other than those required by a restaurant which adds a tip to the bill when serving large groups.

LODGING

Hotel/housing expenses must have prior approval by the building administrator or designee.

When possible the hotel should direct bill the district. The district will reimburse for room and

any applicable taxes only. The district will not pay any amenity cost such as room service, movies, games, etc. Checks to hotels will not be written in advance. The employee will be reimbursed after proper documentation is provided to the bookkeeper.

Revised 02/12/2018