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Home My WebLink AboutOut of State Travel Request - BOCCGRANT COUNTY COMMISSIONERS AGENDA MEETING REQUEST FORM (Must be submitted to the Clerk of the Board by 12:00pm on Thursday) REQUESTING DEPARTMENT: BOCC DATE: 10/12/2023 REQUEST SUBMITTED BY:B• LUTZ7 J. GINGRICH PHONE: CONTACT PERSON ATTENDING MEETING: CONFIDENTIAL INFORMATION: ❑YES ❑NO ❑TABLED/DEFERRED/NO ACTION TAKEN: ❑CONTINUED TO DATE: ❑OTHER 0 ❑Agreement / Contract ❑AP Vouchers ❑Appointment / Reappointment ❑ABPA Related ❑ Bids / RFPs / Quotes Award ❑ Bid Opening Scheduled ❑ Boards / Committees ❑ Budget ❑ Computer Related ❑ County Code ❑ Emergency Purchase ❑ Employee Rel. ❑ Facilities Related ❑ Financial ❑ Funds ❑ Hearing ❑ Invoices / Purchase Orders ❑ Grants — Fed/State/County ❑ Leases ❑ MOA / MOU ❑ Minutes ❑ Ordinances ®Out of State Travel ❑ Petty Cash ❑ Policies ❑ Proclamations ❑ Request for Purchase ❑ Resolution ❑ Recommendation ❑ Professional Sery/Consultant ❑ Support Letter ❑ Surplus Req. ❑Tax Levies ❑Thank You's ❑Tax Title Property ❑WSLCB ❑TABLED/DEFERRED/NO ACTION TAKEN: ❑CONTINUED TO DATE: ❑OTHER 0 Memo %..-jRANT COUNTY OFFICE OF THE COUNTY COMMISSIONERS To: Board of County Commissioners Barbara Vasquez, Clerk of the Board From: ri tany Lutz�erGpg'(h , Date:. Septe�r 28, 2023 Re: Training Opportunity Dear Commissioners, Jerry Gingrich and myself (Brittany Lutz) would like to request permission to attend the Laserfiche Empower Conference April 22-25, 2024, in Las Vegas, NV. The conference offers three days of technical training, comprehensive classes and networking opportunities tailored to our work as Deputy Clerks serving not only you as Commissioners but also the constituents of Grant County and other County Departments. Attending Empower 2024 will sharpen our Laserfiche skills so that we can maximize the power of our Laserfiche system and help our entire staff work smarter. This will help support our goals of an electronic work -flow, electronic signatures etc. Empower 2024 will also provide an abundance of networking opportunities, allowing us to brainstorm with peers from around the world and pick up best -practice ideas to bring back to the County to help begin the process of and support the transition of a more electronic work -flow environment. With registration and other costs, we've estimated the total expenses at $ 5,427.16 (see attached). This investment will allow us to share our new knowledge and skills with our team and co-workers across the organization, helping us to maximize our existing investment in Laserfiche software. Thank you for your consideration of our request. a �isr• 'Cy Nn'�:A dSs:. tib. f i 1 "-•�•-o-..-,er-.,_u��. a{ •._ p 1 Y P ! +� �S is 4 .x.•n "To meet current and future needs, serving together with public and private entities, while fostering a respectful and successful work environment." Out of State Travel Approval Request E CTI .US R,INSTRU ON Form Purpose: Use this form to submit out of state travel request for approval. How to Complete this Form: Fill out this form on-line and then print it. Alter print this form and complete it by hand. How to Submit this Form: Submit a hard copy of this form. Where to Send this Form: Send completed form to your department head/elected official and then to the Board of County Commissioners. Attach signed copy with all AP batches that includ.e any travel charges. Deadline: This form must be received and approved in advance of incurring the requested expenditure(s). Additional Information: Out of state travel must be preapproved by the Board of County Commissioners before incurring cost. Request should include detailed information on air travel, hotel, car rental and funding source. Including attaching the "Airline Comparison Tool". F. E PL YEE:IN O _ORMATI ON , Name: JERRY GINGRICH Date: 10/12/2023 FUNDING(Grants, specific funds) Funding Source: VD.ETAI LS Destination: LAS VEGAS, NV Date(s): APRIL 22-25, 2024 Purpose of travel/how does this contribute to the achievement of the County and your department? Travel to attend Empower Training Conference on Laserfiche . EXPEND TUE .'PROJECTEDI ES. AMOUNT Registration $1299.00 Lodging $683.67 Airfare $345.00 Car Rental $0.00 Personal Vehicle Mileage: $159.82 Meals $156.00 Other (please specify) Parking at GEG $48.00 *If cost exceeds total amount approved, additional Total Request for out of state travel 2691 .49 approval from BOCC is required* q ,.. ... ,.. .... .,..,_ ,. .. .�. ✓_i:_.: ... ._.,.,.,, �' ... _ ,,._.. . _..i .i-, ..sem✓ W, .__ _,,_, - .�...- -,.%.. ,., i. ....._ ... _ i._.. .: ... .. .. i _.. .. ... Elected Official, Department head, or Designee signature -/-..,Date: 10/12/2023 Print or type name: Barbara J. Vasquez Commissioner: Commissioner: Chairman BOCC Date: 10/12/2023 TRAVEL ALLOWANCE CLAIM COUNTY AUDITOR GRANT COUNTY, WASHINGTON Claimant: I Jerry Gingrich Claimant's Dept.: BOCC Purpose of Travel: I Attend Training Destination: Las Vegas, NV DATE BF L D IE TOTAL 4/22/2023 $9.75 $11.25 $23.25 $3.75 $48.00 4/23/2023 _ _ $31.00 $5.00 $36.00 4/24/2023 - - $31.00 $5.00 $36.00 4/25/2023 - $12.75 $19.50 $3.75 $36.00 $0.00 $0.00 -T $0.00 1 TOTAL 1 $156.00 CERTIFICATION I, the undersigned, do hereby certify under penalty of perjury that the claim is a just, due and unpaid obligation against the County, and that I am authorized to certify to said claim. Claimant Signature: Date: FAFAMWAV®ArANWArA�ArA.ArA=WAWAMWWANWAWoAW,�,WAMWAr,�,grMWs�,MlI TRAVEL VERIFICATION 0 1 1 0 0 i TO BE COMPLETED UPON RETURN ONLY i I I i 1 I I, the undersigned, do hereby certify under penalty of perjury that the I (planned travel referenced on this form did, in fact, occur on and for the 1 I duration of the dates provided on this form. Additionally, I attest that I /the allowance provided prior to travel was rightfully owed to me as a 0 Iresult of this travel. I I Claimant Name: I 1 1 Claimant Signature: I I Date: 1 iAMWrAMWiAMeeAMWiA�i-iA�ArA .i Ari-iAMWAWAMW �i I1 Departments shall maintain a copy of this form. The travel verification section must be completed, on the Department's copy, upon the I i p p pY p 0 1 employee's return from travel. The department shall retain the fully I completed copy for six years or in accordance with the Washington Statel I Records Retention Schedule LGS2011-184 Rev. 3). 1 wwWi�Wi�w�isi�i�i� �W"siAMWiAMWioAVAM MILEAGE DATE FROM (CITY, ST) TO (CITY, STS MILES RATE TOTAL 4/22/2023 Ephrata, WA GEG 122.00 $0.655 $79.91 $0.655 $0.00 $0.655 $0.00 4/25/2023 GEG Ephrata, WA 122.00 $0.655 $79.91 $0.655 $0.00 TOTAL I $159.82 *TOTAL REIMBURSEMENT CLAIM $315.82 *Amount may be different due to rounding* Authorization required for Employees: ELECTED OFFICIAL, DEPARTMENT HEAD, OR DESIGNEE Name (printed): Signature: Date: Authorization required for County Commissioners or Elected Officials: COUNTY AUDITOR Name (printed): Signature: Date: Authorization required for the County Auditor, Department Heads, meals expenses outside of travel status, and out of state travel: COUNTY COMMISSIONERS f Commissioner Commissioner: Chairman BOCC: r �, Date: , TRAVEL ALLOWANCE CLAIM COUNTY AUDITOR GRANT COUNTY, WASHINGTON Claimant: I Brittany Lutz Claimant's Dept: BOCC Purpose of Travel: I Attend Training Destination: Las Vegas, NV MEALS DATE BF L D IE TOTAL 4/22/2023 $9.75 $11.25 $23.25 $3.75 $48.00 4/23/2023 - - $31.00 $5.00 $36.00 4/24/2023 - - $31.00 $S.00 $36.00 4/25/2023 - $12.75 $19.50 $3.75 $36.00 $0.655 $0.00 $0.00 $0.00 $0.00 TOTAL 1 $156.00 CERTIFICATION I, the undersigned, do hereby certify under penalty of perjury that the claim is a just, due and unpaid obligation against the County, and that I am authorized to certify to said claim. Claimant Signature: Date: WsWA �W MWWAMWWMMWWAMWWoW,"WWsW,�WeW,�W"WW,W I TRAVEL VERIFICATION 0 1 1 0 0 1 1 0 TO BE COMPLETED UPON RETURN ONLY 0 0 0 11, the undersigned, do hereby certify under penalty of perjury that the I (planned travel referenced on this form did, in fact, occur on and for the / 1duration of the dates provided on this form. Additionally, I attest that Othe allowance provided prior to travel was rightfully owed to me as a Iresult of this travel. I 1 1 Claimant Name: I I I Claimant Signature: I 1 1 Date: I 1 IDepartments shall maintain a copy of this form. The travel verification section must be completed, on the Department's copy, upon the 1 ' � P pY p 0 1 employee's return from travel. The department shall retain the fully I (completed copy for six years or in accordance with the Washington Statel IAV Wff RWc"r,MdEWs ReWnti� Schedu�AGM201W-1-184 RAVE) -ff1 MILEAGE DATE FROM (CITY, ST) TO (CITY, ST) MILES RATE TOTAL $0.655 $0.00 $0.655 $0.00 $0.655 $0.00 $0.655 $0.00 $0.655 $0.00 TOTAL $0.00 *TOTAL REIMBURSEMENT CLAIM E$156.00 *Amount may be different due to rounding* Authorization required for Employees: ELECTED OFFICIAL, DEPARTMENT HEAD, OR DESIGNEE Name (printed): Signature: Date: Authorization required for County Commissioners or Elected Officials: COUNTY AUDITOR Name (printed): Signature: Date: Authorization required for the County Auditor, Department Heads, meals expenses outside of travel status, and out of state travel: COUNTY COMMISSIONERS Commissioner , f Commissioner: e Chairman BOCC: Date:23