HomeMy WebLinkAboutOut of State Travel Request - Public WorksGRANT COUNTY
COMMISSIONERS AGENDA MEETING REQUEST FORM
(Must be submitted to the Clerk of the Board by 12:00pm on Thursday)
REQUESTING DEPARTMENT: PUBLIC WORKS
REQUEST SUBMITTED BY: Victoria Seim
CONTACT PERSON ATTENDING ROUNDTABLE: John Brissey
CONFIDENTIAL INFORMATION: ❑YES ONO
DATE: 01.15.2026
PHONE: 509-754-6082
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Request form Bryan Hurst to travel to Yakima, Washington, for Competent
Person
Training for Fall Protection, from 03.25.2026 to 03.26.2026, for a total trip cost
estimate of $835.59.
If necessary, was this document reviewed by accounting? ❑ YES ❑ NO O N/A
[31-11res IRE
LIM 101117 reviews E
If necessary, was this document reviewed by legal? ❑ YES ❑ NO
OF �``
DATE ODEFERRED OR CONTINUED TO.
WITHDRAWN:
APPROVE: DENIED ABSTAIN
D3:
RECEIVED
4/23/24
GRANT COUNTY COMMISSIONERS
Out of State Travel Request Application
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Traveler's Name(s): Bryan Hurst I Department/Off ice: I PubLic Works
Purpose of Travel: Destination:
Competent Person Training for Fait Protection Yakima, WA
Dates of Travel: 3/25/2026 - 3/26/2026 Total Trip Cost Estimate: $ 835.59
(This line will auto -sum the costs listed below)
Travel Type (Select~ Urge) :
0
Out of State Travel
C]
Out CONUS Travel (AK, HI or US Territory)
C]
Foreign Travel
0
Extradition
Fund Number/Department:
Roads - 101/401
Grant Funded? If Yes, List Grant Amount: Cost Application (Select One):
0 Yes Government Rate
No Conference Rate
C) Regutar Rate
Hotel - GSA Rate: Hotel - Nightly Rate: Motel Total:
IT_ 145-09d is
Explanation for Rate: Required if hotel cost is greater than per them orgovernment rate
Rental Car Required? If Yes, Rental Car Cost:
0 Yes
0 No
Air Carrier:
Preparer's Name/Title:
John Brissey
Cost of Flight:
E I
145.09
Conference Fee:
$ 650.00
Total Estimate of MICE During Travel:
$ 40.50
Preapproved by EO/DH?
Q Yes
0 No
Additional Expenses:
(Addt7 costs for extended stays, flight
upgrades, etc. at the expense of the traveler)
If Yes, EO/DH Name:
Andy Booth
EMPLOYEE'S NAME-
MEETING/SEMINAR:
LOCATION:
DATE:
COSTS:
TRAINING REQUEST FORM
Brun Hurst
Competent Person Training for Fall Protection
Yakima, WA
March 25 and 26, 2026
REGISTRATION FEE:
$650-00
LODGING-,
$145.09
MEALS:
$40.50
INCIDENTALS:
$0.00
TRANSPORTAION:
$0.00
TOTAL: $835.59
RECEIPTS ARE REQUIRED FOR ALL FORMS OF PAYMENT
PER DAY TOTAL DAYS
PER DIEM: YO O. 60 (FROM WORKSHEET BELOW)
ADVANCE TRAVEL:
VEHICLE USED FOR TRAVEL:
DATE OF REQUEST: January/ 13,2026 SIGNED:
RECEIVED BY:
SUPERVISOR: DATE:
DATE: i//f 1142(04011;
DIRECTOR,-
PER DIEM WORKSHEET:
- --
DATE
-------
BREAKFAST
LUNCH
DINNER
INCIDENTAL EXPENSES
TOTAL
March 25, 2026
$0.00
$0.00
$21.00
$3.75
$24.75
March 26,2026
$12.00
$0,00
Moo
$3.75
$15.75
$40.50
Revised Jan. 2018