DESERT COMMUNITY COLLEGE DISTRICT

Individual Travel Approval/Claim and District Vehicle Request

Insert budget line	$Insert amount

Insert Name	Insert Dept	Insert budget line	$Insert amount

NAME	DEPT

Approval is hereby requested to participate in the following activity on the dates and times indicated.

1.	Activity:

2.	Purpose:

3.	Location:

4.	Date(s)

5.	Departure Date: Click on calendar Time:	Return Date: Click on calendar Time:

Actual and necessary travel expenses are estimated as follows:	Cost Estimate	Actual Cost Claim

6.	Commercial Transportation: Car Rental/Airline/Charter

7.	Lodging: Hotel

8.	Meals:	Current IRS allowable rate for destination. Go to Current Per Diem rate

Hold CTRL key and click on link above to follow per diem link

To update calculations, put cursor in cell you want to update and click on F9

Calculator for per diem:	X $	=	$ .00

←Do not edit last cell

Detailed receipts are required when submitting for reimbursement

9.	Registration Fees/Miscellaneous Expense:

10.	Personal Auto Mileage--(IRS allowable rate link) Cells below will update when you print

Calculator for mileage:	X $.58	=	$ 0.00

←Do not edit last cell

Type of District Vehicle Requested:

TOTAL

$ 0.00

Attach all receipts

11.	Remarks:

Note: (1) Pay requests for conference registration fees should be submitted on a requisition with the registration form and a copy of the approved travel request attached and submitted to the Business Office at least ten (10) working days prior to registration deadline. (2) Detailed receipts must accompany any claim being submitted for reimbursement including lodging, meals, conference fees, public transportation, taxis, airport limousines, etc.

Requested by:	Traveler	__________________________________________	Date:_________________

Signature

Approved By:	Name of Dean/Director	__________________________________________	Date:_________________

Signature

Approved By:	VP, Superintendent/President	__________________________________________	Date:_________________

VP or Supt/Pres signature required only for out-of-state travel

OR if traveler reports to a VP or the Superintendent/President.	Signature

E-mail fully executed form to Jeannette Gfroerer in Fiscal Services. Original to be retained by requestor and used as a claim form upon completion of activity (see below). “Actual Cost” column to be completed, receipts attached and form forwarded for approval and payment.

I hereby certify that the above travel expenditures were actually and necessarily incurred in the performance of my duty, and claim reimbursement as itemized. In addition, the vehicle utilized is insured at the level required by Board policy.

Signature (Requestor):______________________________________________	Date:_________________

Claim Approved by:________________________________________________	Date:_________________

Dean, Vice President, Superintendent/President