Spreadsheet: 169b39a1-b85c-40db-a424-11f816cc0e27
Sheet: Expense Report

 |  |  |  |  |  | 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
 | Meals Billed to Room
 | Other [NAME]
 | Lodging Total
 |  |  | MEALS & INCIDENTALS  (See notes at bottom for per diem rates, deductions for meals provided and other restrictions.)
 | Allowance per Location
 | (Less Meals Provided)
 | Meals Total
 |  |  | CONFERENCE/MEETING EXPENSES
 | Registration Fee
 | Honorarium
 | Other ____________
 | Meeting Total
 |  |  | TRANSPORTATION (Receipts are required for airfare, car rental, cabs, etc. > $10.)
 | Airfare
 | Train
 | Auto Rental
 | Local Transportation
 | Tolls
 | Parking
 | Number of Miles
 | Miles @ | 0.565 | /mile
 | Trans. Total
 |  |  | [NAME]
 | Telephone - Direct Bill
 | Fax - Direct Bill
 | Telephone - Cash
 | Fax - Cash
 | Hotel Internet
 | Other ____________
 | [NAME]. Total
 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | TOTAL TRAVEL
 | 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
 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | Balance
 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | Due [NAME]
 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 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 01-2-13)