HomeMy WebLinkAboutOut of State Travel Request - District CourtGRANT COUNTY
COMMISSIONERS AGENDA MEETING REQUEST FORM
(Must be submitted to the Clerk of the Board by 12:00pm on Thursday)
REQUESTING DEPARTMENT: DIStt'ICt COUC't (Community Ct) DATE: 03/26/2026
REQUEST SUBMITTED BY: Amy L Paynter PHONE: ext 3161
CONTACT PERSON ATTENDING ROUNDTABLE: Originally CIISCUSS@CI at OZ/OZ update Ill@2tltlg
CONFIDENTIAL INFORMATION: ❑YES ENO
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Out of state travel for additional Community Court team members (one replacement
PA and one SUD counselor/supervisor) to attend AIIRise Therapeutic Court Conference
in Nashville July 19-23. Estimated cost is $3,630/person and will be funded by ARPA
Therapeutic Court grant.
If necessary, was this document reviewed by accounting? ❑ YES ❑ NO 0 N/A
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If necessary, was this document reviewed by legal? ❑ YES ❑ NO
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DATE OF ACTION:, -~ DEFERRED OR CONTINUED TO:
WITHDRAWN:
APPROVE: DENIED ABSTAIN
D2:
�.l
D3:
0 N/A
4/23/24
Out of State Travel Request Application
DEADLINE: Due by Thursday at 12:00 p.m. to the Commissioner's Office with BOCC Consent Agenda Request Form, to be on the
following week's Consent Agenda.
Traveler's Name(s): Jeremiah Jensen Department/Office: Prosecutor's Office
Purpose of Travel: Destination:
Attend National LRiseM conference Nashville, TN
Dates of Travel: July 19-23 ITotal Trip Cost Estimate: $ 3,630.00
(This line will auto -sum the costs listed below)
Travel Tvve (Select One):
o
Out of State Travel
Out CONUS Travel (AK, HI or US Territory)
Q
Foreign Travel
C]
Extradition
Fund Number/Department:
9000.5124000.543000 / District Court
Grant Funded? If Yes, List Grant Amount: Cost Application (Select One). -
Yes Q Government Rate
0 No Q Conference Rate
Q Regular Rate
Hotel -GSA Rate: Hotel - Nightly Rate: Hotel Total:
$ 217.00 $ .255.00 $
Explanation for Rate: Required if hotel cost is greater than per them orgovernment rate
Nightly rate includes all state/occupancy/local taxes
Rental Car Required? If Yes, Rental Car Cost:
Yes
0 No
Air Carrier:
Delta
Preparer's Name/Title:
Amy L Paynter / Program Coordinator
Cost of Flight:
$ 900.00
1,020.00
Conference Fee:
$ 960.00
Total Estimate of MI&E During Travel:
$ 750.00
Preapproved by EO/DH?
0 Yes
0 No
(Addt'l costs for extended stays, flight
upgrades, etc. at the expense of the traveler)
If Yes, EO/DH Name:
Carlee Kittle
Out of State Travel Request Application
DEADLINE: Due by Thursday at 12:00 p.m. to the Commissioner's Office with BOCC Consent Agenda Request Form, to be on the
following week's Consent Agenda.
Traveler's Name(s): Dale Weaver
Department/Off ice: Renew
Purpose of Travel:
Destination:
Attend National ALLRise26 conference
Nashville, TN
Dates of Travel: July 19-23
ITotal Trip Cost Estimate: $ 39630.00
(This line will auto -sum the costs listed below)
Travel Type (Select One):
Fund Number/Department:
Q Out of State Travel
9000.5124000.543000 / District Court
C] Out CONUS Travel (AK, HI or US Territory)
0 Foreign Travel
[3 Extradition
Grant Funded? If Yes, List Grant Amount:
Cost Application (Select One):
❑ Yes
Q Government Rate
No
❑ Conference Rate
Eo Regular Rate
Hotel - GSA Rate: Hotel - Nightly Rate:
Hotel Total:
$ 217.00 1 $
255.00 I$ 1,020.00
Explanation for Rate: Required if hotel cost is greater than per them or government rate Conference Fee:
1 $ 960.00"
Nightly rate includes all state/occupancy/local taxes
Rental Car Required? If Yes, Rental Car Cost:
Total Estimate of MI&E During Travel:
Yes
I$ 750.00
No
Air Carrier: Cost of Flight:
I $
900-00
Delta
(Adds'( costs for extended stays, flight
upgrades, etc. at the expense of the traveler)
Preparer's Name/Title: Preapproved by EO/DH? If Yes, EO/DH Name:
Yes
Amy L Paynter / Program Coordinator
Dell Anderson
❑
No