In-Service Reimbursement Request After Attendance

In-Service Reimbursement Request

All mileage and seminar costs will not be reimbursed after 3 months from the actual event. All mileage and other related costs must be received by end of every fiscal year (June 30th).

Name *

Name or Description of Meeting *

Location *

Start Date *

End Date *

requests reimbursement for attending the in-service meeting concerning

The meeting was held at from to .

List below the actual costs which were incurred

Travel (54 cents per mile)

Lodging

Meals

Registration Fee *

Substitute Teacher (if needed)

TOTAL *

Date Submitted

Signature of Person Submitting Request:

_____ Approved
_____ Not Approved

Dr. Joshua Olsen, Director:

Date:

Please print and sign then submit to Program Supervisor.

PRINT FORM

News & Annoucements

Upcoming Events

In-Service Reimbursement Request After Attendance

List below the actual costs which were incurred

Livingston County Special Services Unit