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					                                                                                          Questionnaire for
                                                                                     TRAVEL AUTHORIZATION AND
                                                                                  PAYMENT/REIMBURSEMENT VOUCHER

In order for the district’s travel form to be filled out, please: (1) answer EVERY question on the
questionnaire; and, (2) attach the requested forms to the questionnaire answers.

                                                 Name:
BOX INDICATES AN ITEM THAT NEEDS AN ATTACHMENT




                                                 Social Security:

                                                 Address:

                                                 Travel Destination:
               BEFORE TURNING IN.




                                                 Purpose of Travel:

                                                 Date of Departure:

                                                 Time of Departure:

                                                 Date of Return:

                                                 Time of Return:

                                                 How many people from
                                                 school are attending the
                                                 same conference?
                                                 List the attendees
                                                 Registration Fee:
                                                 Attach a copy of the registration form
                                                 If this is an associational              YES         NO      The district does not pay for individual memberships to professional
                                                 conference, are you a member                                 associations.
                                                 of the association?
                                                 Are you flying?                          YES         NO      If flying, attach a quote for the flight from a travel site (a site like
                                                                                                              www.orbitz.com)


                                                 Bus, Cab, Etc. Estimate:


                                                 Are you driving?                         YES         NO      If driving, attach a Mileage quote from the following site:



                                                                                          http://www.window.state.tx.us/comptrol/texastra.html
                                                                                                             Automobile mileage is to be reimbursed at the current IRS
                                                                                                             rate. You do not need to keep fuel receipts.
                                                 Parking Fee Estimate:
                                                                                                             Valet parking is not reimbursable.


                                                 Any other anticipated
                                                 miscellaneous fees?
          Where will you be
          lodging?
          Attach a copy of the hotel information
          With whom will you be
          lodging?
Lodging is based on the single room rate in a moderately priced hotel or at the conference/seminar rate. The hotel occupancy tax
exemption must be claimed for the 6% State of Texas tax exemption. ( Tax Exemption Form) However, employees must pay any city
and MTA taxes. Employees will be reimbursed for the city and MTA taxes but will not be reimbursed for the 6% State of Texas tax.
Lodging rates are as follows:


SRI FUNDS and GF1 FUNDS
State of Texas        $80/Day
Out of State            Per Diem Rate
(http://policyworks.gov/org/main/mt/homepage/mtt/perdiem/perd05d.html)
       Meals:
Per Diem will be used for all GF1 funds. Actual cost not to exceed Per Diem applies to SR1 funds Policies are as follows:
Per Diem Rates are based on the city of your visit. Rates will vary depending on the fund source. Rates are as follows:
SRI FUNDS
State of Texas         $30/Day
Out of State            Actual Cost of Meals not to exceed per diem rate
GF1 FUNDS
State of Texas         $30/Day
Out of State            Per Diem Rate
Receipts are not required for the per diem method.
Note: If an individual’s trip begins after 12:00 noon or ends before 12:00 noon, the per diem allowance for the partial travel day is ½ the daily per diem rate.


Section 914d - General Non-reimbursable expense

All Funding Sources

The following expenditures shall not be considered for reimbursement by the District:

     1.     Additional expense incidental to the operation of a personally-owned motor vehicle.
     2.     Entertainment expense
     3.     Alcoholic beverages
     4.     Telephone calls, local or long distance, unless for properly verified business purposes. Calls on the hotel bill must be
            identified as a business call to be reimbursed.
     5.     Pre- or post-conference social/recreational activity fees.
     6.     Airfare in excess of lowest available (coach class – airfare check across airlines).
     7.     Gratuities/tips
     8.     Valet parking
     9.     Lodging hotel occupancy taxes within the State of Texas
     10.    In-room movies, laundry and cleaning
     11.    All other personal expenses or guest expenses
     12.    Membership dues
     13.    Expenses of any kind for an employee’s spouse or children.
     14.    Meal reimbursement for day trips




__________________________________________                                                        ___________________________
Requestor’s signature                                                                             Date questionnaire & attachments
                                                                                                  turned in

				
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