ALLAN
HANCOCK
COLLEGE
DISTRICT TRAVEL REQUEST
I request approval for the following trip, which is for the benefit of the college. Submit the travel request form at least
two weeks prior to the activity. An approved copy wi ll be returned to the app licant. Please attach trip information.
District Employee(s) Making Trip :
Date Submitted:
Destination:
Address:
Depattment:
Telephone # at Destination:
(mandatory)
Number of Students:
Account Code(s) to be Charged:
Conference/Workshop:
(Spe ll out association name)
Purpose of Trip:
Time
DateofTrip: _ _ _ _ _ _ Leaving:
amD
pmD
Time
_
_
_
_
_
_
Returning:
Date of Return:
am D
pmD
Cost of Travel to be Paid bl: District:
Conference Registration (1)
Lodging (2)
Mea ls
Parking
Shuttle or Taxi
Car Rental
Air Fare
X$ .575
Mileage
Internet Access
-
Other
( 1) If prepayment is required, attach a Request For
Commercial Warrant or Revolving Cash Fund Check
with support documentation .
$
$
$
$
$
(2) Room guarantee required ? []Yes CJNo
Personal credit card D or DistrictD
Confirmation number:
$
$
$
$
$
0 DO
(3) Emp loyees must contact Plant Services, ext. 3225 , to
reserve a District vehic le. Keys must be checked out
from Plant Services prior to 4:00p.m. on a regular
working day.
District Vehicle (3)
DYes 0No
Total Estimated Cost:
$
Signature of Applicant
0 DO
Will any travel expense be paid or reimbursed by another
agency?0Y es 0 No Ifyes, amount?
Name of agency?
Date
Authorization and Approvals
Signature of Department Head/Supervisor
Date
Signature of Cabinet-level Administrator
Date
Signature of Supervising Admi nistrator
Date
Signature of Superintendent/ President
Date
(required for out-of-state travel)
Distribution of Co pies:
Original - Business Se rvices
Ap proved Co py- Ap plica nt
Copy- Plant Serv ices
7/1/15
~~CK
DISTRICT TRAVEL
EXPENSE CLAIM VOUCHER
\_~)J COLLEGE
Expense Claim Voucher must be filed within two weeks of your return. Submit the form to Business Services .
Original receipts must accompany this voucher to be eligible for reimbursement.
Name:
-=~~----~----~------------------
Da~ :
(Please print or type full name o f appli cant)
------------
Date( s) of Travel: ___________________ Destination:----------------------------Purpose of Trip:--------------------------------Date
Registration
Lodging
Meals:
Breakfast
Lunch
Dinner
Transportation:
Mileage
Air Fare
Rental Car
Parking_
Shuttle/Taxi
Internet Access
Other
TOTAL
0.00
0.00
0.00
0.00
0.00
0.00
.575
X
0.00
0.00
0.00
0.00
0.00
0.00
0.00
Note:
l. Proof of attendance is required .
2. Hotel receipts, boarding passes for air travel, and
receipts for parking, shuttles/taxi must be attached.
3. Meals not to exceed $50 a day .
4. Person al vehicle mileage calculated at cuiTent IRS rate.
$ 0.00
Total Expenses
Less: Prepaid Expenses
Net Reimbursement
To Employee
(___)
$ 0.00
Thereby certify that the above is a true and correct statement of my actual and necessary expenses incurred
while on official business for Allan Hancock Joint Community College Di strict.
Signature of Appli cant: -----------------------------------
Date: _____________
Budget Code :
Program
Business Services/Accounts Payable approval:
Obj ect
Date: _______
7/1/15
ALLAN
HANCOCK
COLLEGE
CLAIM FOR REIMBURSEMENT FOR ON-THE-JOB TRANSPORTATION
NAME: --------------------------
PERIOD:
DEPARTMENT: _________________________________
DATE
FROM
TO
MILEAGE
Total Mileage
0.00
X
Total Amount of Claim
.575
$0 .00
"I certify that the foregoing is a true and correct statement of the use of my personal automobile for the necessary travel performed by me in carrying out my assigned duties as an
employee of the Allan Hancock Joint Community College District.''
Signature of Payee
Date
Budget Code
Signed:
Supervisor and/or Grant Manager
SUBMIT TO THE BUSINESS SERVICES OFFICE.
Rev. 7-1-15