Spreadsheet: 05bab4dd-a4e4-4b92-bc08-9e92606294ed
Sheet: Sheet1

Unnamed: 0 | Unnamed: 1 | Unnamed: 2 | Unnamed: 3 | Unnamed: 4 | Unnamed: 5 | Unnamed: 6 | Unnamed: 7 | Unnamed: 8 | Unnamed: 9 | Unnamed: 10 | Unnamed: 11 | Unnamed: 12 | Unnamed: 13 | Unnamed: 14 | Unnamed: 15 | Unnamed: 16 | Unnamed: 17 | Unnamed: 18 | Unnamed: 19 | Unnamed: 20 | Unnamed: 21 | Unnamed: 22 | Unnamed: 23 | Unnamed: 24
 |  |  |  |  |  | Name |  |  |  |  |  |  |  |  |  | Board/Committee/Workgroup |  |  |  |  |  | Date
 |  |  |  |  |  | Purpose for Travel Including Meeting and Location
 | Non-Staff Travel Expense Report
 | Due to funding restrictions, reimbursement is only guaranteed if expense report is submitted within 30 days from last day of travel.
 |  |  | Date:
 |  |  | LODGING |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | TOTALS
 | Hotel |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 0
 | Meals Billed to Room |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 0
 | Other [NAME] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 0
 | Lodging Total |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 0
 |  |  | MEALS & INCIDENTALS  (See notes at bottom for per diem rates, deductions for meals provided and other restrictions.)
 | Allowance per Location |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 0
 | (Less Meals Provided) |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 0
 | Meals Total |  |  | 0 |  | 0 |  | 0 |  | 0 |  | 0 |  | 0 |  | 0 |  | 0 |  | 0 |  | 0 |  | 0
 |  |  | CONFERENCE/MEETING EXPENSES
 | Registration Fee |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 0
 | Honorarium |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 0
 | Other ____________ |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 0
 | Meeting Total |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 0
 |  |  | TRANSPORTATION (Receipts are required for airfare, car rental, cabs, etc. > $10.)
 | Airfare |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 0
 | Train
 | Auto Rental |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 0
 | Local Transportation |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 0
 | Tolls |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 0
 | Parking |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 0
 | Number of Miles
 | Miles @ | 0.55 | /mile | 0 |  | 0 |  | 0 |  | 0 |  | 0 |  | 0 |  | 0 |  | 0 |  | 0 |  | 0 |  | 0
 | Trans. Total |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 0
 |  |  | [NAME]
 | Telephone - Direct Bill |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 0
 | Fax - Direct Bill |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 0
 | Telephone - Cash |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 0
 | Fax - Cash |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 0
 | Hotel Internet |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 0
 | Other ____________ |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 0
 | [NAME]. Total |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 0
 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | TOTAL TRAVEL |  | 0
 | Please mail to: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | Less Direct Bill
 | NAACCR, Inc.                                       2121 West White Oaks Drive       Suite B                                            Springfield, IL  62704                                    Tel: [PHONE]                                       Fax: [PHONE] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | Less Nonreimbursable Items |  | 0
 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | Balance |  | 0
 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | Due [NAME] |  | 0
 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | Due NAACCR |  | 0
 | Approval Signature |  |  |  |  |  |  |  |  |  |  | Date |  | Signature
 | Notes: |  |  |  |  |  |  |  |  |  |  |  |  | Address to Mail Check
• | Payment for meals and other incidentals charged to rooms should be settled with
 | personal credit card or other personal payment.  Incidentals include tips, postage
 | and personal local travel and is included in per diem allowance.
• | Airfare will be reimbursed at coach/economy rates.
• | Car rental will only be reimbursed with extenuating circumstances and with
 | prior NAACCR approval.
• | Per diem for both the first and last day of travel will be 75% of the total per diem |  |  |  |  |  |  |  |  |  |  |  |  | Maximum Daily Per Diem Rates & Components
 | and full day per diem will be allowed for each intervening day. |  |  |  |  |  |  |  |  |  |  |  |  | M&IE Total |  | 51 |  | 56 |  | 61 |  | 66 |  | 71
 | If travel day is 10 hours or longer, a full day per diem may be charged. |  |  |  |  |  |  |  |  |  |  |  |  | Travel Day |  | 38.25 |  | 42 |  | 45.75 |  | 49.5 |  | 53.25
 | Per Diem rates by city can be located at www.gsa.gov/perdiem. |  |  |  |  |  |  |  |  |  |  |  |  | Breakfast |  | 8 |  | 9 |  | 10 |  | 11 |  | 12
• | In cases where the registration fee or a Board/Committee activity provides for |  |  |  |  |  |  |  |  |  |  |  |  | Lunch |  | 12 |  | 13 |  | 15 |  | 16 |  | 18
 | a scheduled meal, the per diem for that day should be reduced by the amount |  |  |  |  |  |  |  |  |  |  |  |  | Dinner |  | 26 |  | 29 |  | 31 |  | 34 |  | 36
 | shown to the right. Additional rates available at www.gsa.gov/mie.
 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | (revised 09-28-09)