Monthly Expense Report Forms - Excel

							                                                                                                                  DISTRICT TRAVEL &
                                                                                                            MONTHLY EXPENSE REPORT


         Name:                                                                   Location (include city):

Trip purpose:

       Date(s):                                                           Depart time:                          Return time:
                                                                                           Indicate AM/PM                      Indicate AM/PM


Complete this form in detail and submit to Accounts Payable no later than 3 days upon your return.
If attending a workshop or conference, attach a copy of the registration form.

Itemized receipts are required for all purchases, including meals, while traveling with the exception of gas/fuel. Reimbursements will be denied
if itemized receipts are not included. District automobiles should be used whenever possible. Prior approval from your supervisor is required
when using a private vehicle. Do not add extra insurance on rental cars. The Camas School District allows a maximum per diem rate for meals.
When registration or lodging paid by the Camas School district includes meal(s), the per diem rate will not be paid. Fill in the appropriate or
maximum amount used for each meal: if traveling within Clark County, a maximum of $12 for breakfast, $15 for lunch and $22 for dinner is
allowed. If traveling outside of the Clark County area, please refer to website http://www.gsa.gov/perdiem for additional rates.


     Date               Breakfast        Lunch             Dinner             Hotel               Misc.       Misc. Explanation




                                                                                                                                $               -

Mileage (no receipt required)
 a) District car was available, but I drove my personal car.
                           Number of miles:                                       Rate:    0.25                                 $               -
 b) District car was NOT available, so I drove my personal car.
                           Number of miles:                                       Rate:    0.50                                 $               -

                 Budget number:                                                                     Total amount of claim: $                    -

    Advance travel check #:                                                                               Amount received:

                                                                                                             Net difference: $                  -



Certification: I hereby certify under penalty of perjury that this is a true and correct claim as stated, and that no
other reimbursement has been received by me for the above expenditures.


     Staff Member's Signature                                                                Date




     Supervisor's Signature                                                                  Date




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                                                                                   DISTRICT TRAVEL &
                                                                             MONTHLY EXPENSE REPORT


       Month:                                          Year:


Date   To (city/place)             From (city/place)           # of Miles            Purpose of Trip
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
13th
14th
15th
16th
17th
18th
19th
20th
21st
22nd
23rd
24th
25th
26th
27th
28th
29th
30th
31st

                                           Total # of Miles:                0.00

       Please transfer total to the appropriate field in the milage section above.




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