How to Register a Business in Iowa by sxn42276

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									                                            Non-Employee Expense Report
   For meals and hotel accommodations, use the actual amount spent. You will be reimbursed up to the limits outlined below.

        SEE ATTACHED SHEET FOR DETAILS - Per State Of Iowa Rule Changes Effective July 1, 2009
                                               COMPLETE ALL AREAS!
     Effective July 1, 2009 - ATTACH "ORIGINAL"DETAILED RECEIPTS (photocopies cannot be accepted)
IMPORTANT NOTE: Your reimbursement will only be paid to one individual or business for the total amount.
                                                  Travel
 Purpose for travel:______________________      Name:
 Departing From: _______________________        Address:
 To: _________________________________          City/State:
 Date of Depart_______Date of Return______      Social Security #:__________________________________
 Time Left Home: ______ a.m. ______ p.m.        NOTE: claim cannot be processed without the SS #
 Returned Home: ______ a.m. ______ p.m.         WHO SHOULD RECEIVE THE REIMBURSEMENT CHECK?
                                                   c Individual or      c Business/Contractor
 I drove my own car _________ miles round trip  (If check goes to Business/Contractor - you must attach a W-9)
 I rode with ____________________________       Business/Contractor Name:___________________________________
                                                Phone: (         )___________________________________________
                                                Address: _________________________________________________
                                                e-mail: ___________________________________________________
 Course Taken:____________________________________ Trainer: _______________Location___________________

                                                  Mon           Tue        Wed               Thur         Fri       Sat         Sun
 Meals(Detailed Receipts Required)              Date____      Date____   Date____          Date____    Date____   Date____    Date____
 Breakfast:                                     $             $        $                   $           $          $           $
 Lunch:                                         $             $        $                   $           $          $           $
 Dinner:                                        $             $        $                   $           $          $           $

Lodging (attach zero balance paid receipt) *  $   $        $                               $           $          $           $
         ____ I shared a room with __________________________________
         ____ I stayed with family or friends
In order to receive reimbursement you must show successful completion of the course and send a copy of the State of
  Iowa Department of Public Health Certificate of Lead Professional Training.
Course Training Fee (attach paid receipt)       $

Certificate Fee (attach paid receipt)           $

Third Party Exam Fee (attach pd. Receipt)    $
I certify that I successfully completed the course and am presenting the certificate(s) and also attest that
I will make my services available for Iowa Disaster Recovery.

Signed: ______________________________________                     Date: __________________________________

CLAIMANT'S CERTIFICATION
I CERTIFY THAT THE ITEMS FOR WHICH PAYMENT/REIMBURSEMENT IS CLAIMED WERE FURNISHED FOR STATE BUSINESS
UNDER THE AUTHORITY OF THE LAW AND THAT THE CHARGES ARE REASONABLE, PROPER, AND CORRECT, AND NO PART
OF THIS CLAIM HAS BEEN REIMBURSED OR PAID BY THE STATE, EXCEPT ADVANCES SHOWN, AND I UNDERSTAND THE
ROUTINE USES OF THIS FORM.



Signed:                                                                Date:



Meal Hour Changes Per Sate Of Iowa Rule Changes Effective July 1, 2009
             Reimbursement Rates (requirements)                     Send Form To:
Meals:                                                              Attn: Cali Beals
 Breakfast (must leave home before 6 AM)        $  5.00             Iowa Department of Economic Development
 Lunch (must leave home before 11:30 AM)        $  8.00             200 E Grand Avenue
 Dinner (must return home after 7 PM)           $ 15.00             Des Moines, IA 50309-4809
  TOTAL Meals Per Day                           $     28.00

Lodging (must be pre-approved):                 50.00 + tax
Mileage: (Important - see below)               $.39 per mi.
(Travel not reimbursed when residence and training are in the same metropolitan area.)
* PLEASE NOTE — lodging reimbursements require a zero balance receipt.
You may need to check out at the hotel registration desk to receive
this document. Express check-out receipts that show a balance due are not acceptable.




                                                                  8018861e-76cf-4d9c-9fc4-36c6552ab853.xls                               11/14/2010
8018861e-76cf-4d9c-9fc4-36c6552ab853.xls   11/14/2010
    IDED, Community Development Reimbursement Policy for Lead Professional Training
    Per Sate Of Iowa Rule Changes Effective July 1, 2009

     Reimbursement for Registration (provide receipts)
     Reimbursement for Lodging is $50 + tax per night (provide receipts)
     Reimbursement for Meals is $28 a day (Effective July 1, 2009 detailed meal reciepts must show what you ate - not just the total)
     Reimbursement for Travel is allowed from residence to training location at .39 cents a mile.
      (Travel not reimbursed when residence and training are in the same metropolitan area.)
     Provide reimbursement payment contact information on reimbursement form for payment to only one contact:
        Name, address, phone number and W-9 if business or SS# if individual.

     In order to receive reimbursement you must show successful completion of the course and
         send a copy of the State of Iowa Department of Public Health Certificate of Lead Professional Training.

Feel free to register for courses through these providers:

Links to training providers, courses and details: http://www.idph.state.ia.us/eh/certified_lead_prof.asp

Courses                                    Hours
Sampling Technician                         20
LBP Inspector/Risk Assessor                40
Abatement Contractor                        40
Abatement Worker                            24
Refresher Courses for Above                Hrs. Vary
Safe Work Practices                         8

If you have any questions about the program, please call or email with questions: Cali.beals@iowalifechanging.com or 515-242-4822.

Send Reimbursement Form to:

Attn: Cali Beals
Iowa Department of Economic Development
200 E Grand Ave.
Des Moines, IA 50309

								
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