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Home My WebLink AboutOut of State Travel Request - RenewGRANT COUNTY COMMISSIONER$ AGENDA MEETING REQUEST FORM (Must be submitted to the Clerk of the Board by 12:00pm on Thursday) REQUESTING DEPARTMENT, enew - Compliance DATE:01/03/2024 .Anna Serrano (509)7659239 Ext, 53*53 REQUEST SUBMITTED BY, . PHONE: CONTACT PERSON ATTENDING ROUNDTABLE. Dell Anderson CONFIDENTIAL INFORMATION: DYES WNO UEM 11111:4 l i :IN LIM It al I i W." DAgreernent / Contract LIAP Vouchers OAppointment /.Reappointment DARPA Rela 'ted' El Bids / RFPs / Quotes Award OBId opening 'Scheduled ElSoards / Committees D.Budget 0 Computer Related MCounty Code ElErnergency Purchase ClEmployee Rel, DFacilities Related DFinancial 13 Funds 01-learing Dinvoices / Purchase Orders OGrants — Fed/State/County ElLeases 111MOA / MOU ElMinutes 00rdinances Rout of State Travel ElPetty C.ash 0 Policies DlProclam.ation.s 0 Request for Purchase DResolotion Mecommendation 0Professional Serv/Consultant F7 Support Letter 0surplus Req. []Tax Levies []Thank You fs OTax Title Property OWSLCB TIT Out of state travel for Brooke Decubbe'r., 4/1-4/24 JA& 4/17/24, H Annual Compliance Institute Conference in Nashville, TN - Total Cost $ 4242.30 Funding Code: 108.150,00,8055,56431,4917 DATE OF ACTION:.,--- — ------ APPROVE'S DIE'NIED ABSTAIN, Dl: D24" A W : DEFERRED OR CONTINUEb TO: 1/3/24,10:36AM OUT OF STATE TRAVEL REQUEST APPLICATION Traveler's Name* Brooke Decubber Departure Date* 1'. . . . . . . . . . 4/13/2024 6:00 AM Dept/Committee* Compliance Return Date* 4/18/2024 100 PM Grant County, WA Date of Request* 1/3/2024 Grant* No Travel Type* Out of State Travel Y Fund/Dept* Compliance . . ... . ..... Destination (City, County, State)* Purpose of Travel* Nashville, TN HOCA Compliance Conference ..... Hotel GSA Rate* $233 Hotel -, Nightly Rate* Cost Application* Rental Car Required Conference Rate Y No Y Hotel Total* Conference Fee* Daily MWE at Rental Car Cost per Destination* day* $1760044 $1524 .. . ... ....... . . . . . . . . . . . . —.17 $79 $0 .............. oil . "W11.1-11 J00 Explanation for Rate (required If hotel cost Is greater than per diem, or government rate)* No GSA rate rooms available, only conference rooms available. A Air Carrier* Alasks Preparer's Namo* Anna Serrano Pr approved by EO/DH? Yes Y Cost of Flight* $400 Total trip cost (Include all cost totals)* $4242-30 Preparer's Tltlo* Accounting Technician Use of travel card to fill a rental vehicle gas tank prior to Its return Is recommended, https:llwww,granteountywo.gov/Form0enter]Print?formlD=86&Proviow=YES&Save--Faise&savedProgrossIL)lm 1/1 TRAINING REQUEST TRAVEL REQUEST STAFF NAME: EMAILADDRESS:b(�eGURz/yCA y2m+ I NAMEOFTRAINING: K�Pr DATE: LOCATION, 1/1 lit rx TRAVEL, PURPOSE:. LOCATED IN WA STATE? ❑Yes [�)No DATES OF TRAINING: through DEPARTING DATE, & TIME. 0 0 Can RETURNING DATE &JIME: �' L I`Gt 1 �-l'�' HOTEL NEEDED? Yes E] No AIRFARE NEEDED? [,Yes ONO FLIGHT PREFERENCES: S REGISTRATION NEEDED? (]Yes ONO WHO WILL BE IMPACTED BY THIS TRAINING? [� Employee R]`feam 'Members Other Agency Staff MAJI Agency Staff WHAT WILL'YOU BE. ABLE TO BRING BACK TO THE AGE I NCY? (What can you then train your team, other teams, agency leadership, and other groups on ?) -- ,�V1�In "�� !Mc :� 6N V V �e{Sfi C joq um �Vm a,) NOT TO BE COMPLETED BY EMPLOYEE MANAGER APPROVAL TO TAKE PERSONAL CAR: Manager initials MANAGER APPROVAL (CIRCLE (SNE): YES, Send form to Leadership for further approval NO, Training Is denied Manager initials ESTIMATED COST: 2A7 iW LEADERSHIP APPROVAL (CIRLCE ONE):( YES )INO INITALS Date 2 1/28/22 p t h Annual 07 ce April 14-17, 2024 Nashville April 15- 7, 2024 virtual ! =Zj We ho -pe you're as excited as we are to gather in, Nashville for the compliance insights, professional connections, and energizing experience that only the Cl can provide. 0 . Learn from experienced industry professionals I I x9 ai1111flirll 0 4 C -i-in'frjorg/?02 hccc Earn continuing education units HCCA ` Health Care Compliance Association 000 MCOM Get updates. on Connect, with fellow timely, insightful, and attendees and practicbI content solution providers I I x9 ai1111flirll 0 4 C -i-in'frjorg/?02 hccc Earn continuing education units HCCA ` Health Care Compliance Association 28th Annual Compliance Institute April 14-17,2024,o Nashville, TN /April 15-17, 2024 *Virtual 0 Mr 0 Mrs 0 Ms 0 Dr 0 Other First Name Credentials (CHC, CCEP, etc.) ,Organization (name of employer) Street Address Nil Last Name Job Title City/Town State/Province Zip/P6stal Code Countr-y work Phone In -Person Options Email (required) CO3HCCA ggg �x• "IFIN .fitV4 k'� z0MC S N p, .; 1, -1 ; 4A "Iry I 'OV, �N N I , 1,41 10-F R --i 2"'t Hum W: V AN 1" fti� L MA 02 onl8ofore After I . 2121/24 2/21tu Full Conference (Sunday—Wednesday) on/sefore 1114 After 2/21124 Main Conference (Monday—Wednesday only), Member $11,299 $1t699 $949 Non-member 0 Non -.Member $1,999 El , Registration + First -Time Merrib6rship4 $1,5 4 $1,924 lmal.ri Conference (Monday- Wednesday only) El Member $1,299 $1,399 0 Non -Member $1,599 $1,699 E] Registration,4-First-Time Membership* -111. � - I I $1,5 24 __$1#6 'Save, by jolinioq.today (first-time members only), Does tenew at $325. Group Discount 0 Group Discount for 3-9" A$501 0 Group Discount for 10 or More- $109, "Subtract -the dis.count im.ount from your registration price. TOTAL, (85POR.E. ANY 0PLICABLE TAXES) $ Volunteer Project o Saturday, April 13,12:00-4:00 PM sign me up for the in-person Volunteer Project Dietary Needs Request (for in-person attendeeis only) C1LactoseIntolerant Oleo Red Meat/Park Mut Allergy P.Shell(ls , h8eo food Allergy )Ne on OVegetarian 130ther on-site Attendee Mobile Phone (for emergency on-site use only) 5rhergency Contact (narrie & PhOne) Virtual Options on/sefore 1114 After 2/21124 Main Conference (Monday—Wednesday only), f-1 Member $949 $1,049 0 Non -.Member $10199 $1, 99 Registration + First -Time Membership' $1,174 $1,274 *Save b jo ring triday (first.fline members amly). Dues renew at $325, Group Discount Group Discount for 3-9" ($5_0) ($50) Ej I Group Discountfor10 or More" .... ....... ... . ... ($100.1 "S6btract.the:discount,irnauhthort'I yout registration price. TOTAL (PEPOREAN,Y APPLICAR.E TAOS) Group Discount: Registration, for group discounts should be subm(tted online in one LransacLion, lryour registrations Include -a registration + First-Tirne Membership, please contact Member Setylces for assistance. Note that dISCOUnts will not be applied retroactively if more registrants are added eta later date, but now registrants MI receive the group discount. If submitting Via ornall or mail, registrotrion. forms (one for each participant) must be serittogetherto ertsure the discount Is applied. HCCA Membership: 13y selecting Registration + First-TIme Membership, you agree to the full membership terms and.co.ndifion.s, including, the use Of your information, viewable at htca-info.org/meonborship-torilis-acid-conditions. Visit hcca-Info.orgilprivacy to see the full use.of yop.r information or to opt, out. Opt Out: Select if you would like to opt out Of the following, - IJ Online Member Directory: HCCA's..rnem4er directory lists, . first and last narne, organization, title, address, and phone number, Registratloh FAOs: Visit heca-into.org/faq5-national-person for answers to frequently asked qd-estions (FAQs) about your registratiod, _Pli R i UYM'.. vo . . . . . . . . . . . -�R �17 4 _4 % 0 i3r, NN Register online with credit card payment at hcca-info.org/2024CI Mail a check to HCCA, 6462 City West Parkway, Eden Prairie, MN 55344 USA (contact HCCA for applicable tax and total) [] invoice me Purchase Order Number (attach PO) El Wire transfer requested To register with a check, wire transfer, or purchase order, or to pay with a credit card over the phone, please coritact HCCA for an invoice with applicable taxes. Due.to PCI compliance., do not provide credit card information via emall, Registration is not complete until full payment is received, Tax may apply. Access to the event will not be allowed until all fees have been paid. HCCA reserves the right to cancel your registration If we do not receive payment by the start date of the event. Payments received with incorrect amounts will be, returned. Emil helpteam Ccvhcca-info.org or call HCCA at 952,988.0141 or 888.580.8373. 4VIA ffif, FF L I It "�� - , " �Mt By submitting this registration, you agree to the full event Terms and Conditions, viewable at hcca-itifo.org/event-terms-and-conditions, Including the use of your Information that may be shared with conference exhibitors, attendees, speakers, affiliates, and partners for promotional and/or networking pUrPOSeS. Visit hcca-info.org/privacy to see the full use of your Information or to opt out. By registering for this event, You grant HCCA, or anyone authorized by HCCA, the right to use or publish, in print or electronic format, any photographs or video containing your irnage or likeness for educational,. news, or promotional purposes, without compensation. U.." ".-112, 0 OM -0 MMS, a 93 'F'- � , rma w 0 b 01� 01 04"_ HID H. no Ad� tP HCCP, April 14-17, 2024 * Nashville, TN / April 15-17, 2024,9 Virtual Primary Venue HCCA has a group room block atthe Music City Center following hotels: 201 Rep. John Lewis Way South Nashville, TN 37203 Omni Nashville Hotel 250 5th Avenue South All conference sessions/breakOL.ItS and exhibit space for the Nashville, TN 37203 Compliance Institute will be at the M.us.ic City Center. HOUSING: You have a choice of where you stay when you attend .,the annual conference, but when booking through the official housing block with the links provided at right, you are supporting the associa.tion by avoiding -fees that result from significant sections of :the room blocks being reserved but left unfilled or canceled at the time of the conference. If LCCA does not achieve a minimum number of overnight accommodations, the price of service can Increase rogistration fees for future programs, Without your support, HCCA faces financial penalties for unused sleeping rooms, PLEASE NOTE:. Neither HCCA nor any hotel it is affiliated with will ever contact YOU to make a hotel reservation. If you receive a call soliciting reservation's on behalf of HCCA. or the event., It may be fraudulent. We recommend YOU Make reservations directly with the hotel lasing the phone number or web link in this btochUre. If you have concerns or questions, pl.easecontact HCCA at 952.988.0141 or 1 888.580.8371 Make hotel reservations online or Call 1 -80.0 -THE -OMNI and reference 2024 HCCA Compliance Institute. The group rate is $292 per night for sin'gle/dOLibleoccupancy plus tax. The cutoff date to receive the group rates is Thursday, March 21, 2024, or once the group block is full,, which may be prior to this date. Please cancel your reservation'72 hours prior to arrival to avoid penalty, There is no deposit reqUired at the time of booking. Embassy Suites by Hilton Nashville Downtown 708 Demonbreun St Nashville, TN 37203 Make hotel reservations gn[lne. The group rate is $299 per night for single/double occ.upancy Plus tax. The cutoff date, to receivethegroup rates is Sunday, March 17, 2024., or once theToLlp block Is full, 1 9 . " whi,ch nlay be prior to this, date. Please cancel your reservation by 4:00 Pm 72 hours prior to arrival to avoid penalty. There Is no deposit required at the time of booking. The Westin Nashville 807 Clark Place Nashville, TN 37203 Make hotel reservations online. The group rate- is $280 per night for .sin0le/dOLible occupancy Plus tax. The Cutoff date to receive the group rates is Thursday, March 21, 2024, or once the group block is full,, which may be prior tot ; his date. Please cancel your reservation by 4:00 Pm 48 hours prior to arrival to avoid penalty. There is no deposit required p, q at.the time of booking,, ORIN MR. I mwaFX; 1F -4WN,