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HomeMy WebLinkAboutOut of State Travel Request - Renew (003)GRANT COUNTY COMMISSIONERS AGENDA MEETING REQUEST FORM (Must be submitted to the Clerk of the Board by 12:00pm on Thursday) REQUESTING DEPARTMENT:Renew PiperSCCC}CjgIt1S REQUEST SUBMITTED BY,. CONTACT PERSON ATTENDING ROUNDTABLE:Dell Anderson CONFIDENTIAL INFORMATION: --,,YES DATE' 7/15/2026 PHONE:509-765-9239 TYPE(S) OF DOCUMENTS SUBMITTED:---- (CHECK ALL ----------I THAT APPkM - Agreement 1 Contract .-'- LIAP Vouchers ' Appointment Reappointment DARPA Related - FJward Bids / RFPs 'Quotes Aw OBid Opening Scheduled Boards Commiftees Bu dg et O''Computer Related County Code F Emergency Purchase EmployeRel. 'e Facilities Related 017inancial [.Funds ElHearing Lj Invoices / Purchase Orders ':�]Grants - Fed/State/County '—'Leases 7MOA / MOU Minutes 00rdinances M Out of State Travel IPetty Cash Policies -7lProclamations -_._.1,Reauest for Purchase .7.7Resolution ["Recommendation ElProfessional Serv/Con sultant EDSupport Letter E]Surplus Req. ETax Levies Thank You's -:]Tax Title Property EIWSLCB ISUGGESTED WORDING FOR AGENDA: Who, What, When, Whv, Term, cost, etq1_1 -------------- _­­____ - - ___A� --- Out of State Travel Request for Marisol Gonzales, Fernando Galarza, and Dayana Ruiz to attend the 2026 Texas Suicide Prevention Symposium in New Braunfels, TX from 08/10/2026-08/12f2026. Estimated Cost: $3300.OU If necessary, was this document reviewed by accounting? 0 YES 1:1 NO *' N/A If necessary, was this document reviewed by legal? El YES I NO N/A DATE OF ACTION:1 /2, 1. 124Z APPROVE: DENIED ABSTAIN Di D2: D3- DEFERRED OR CONTINUED TO: WITHDRAWN: 4/23/24 Out of State Travel Request Application DEADLINE: Due by Thursday at 12:00 p.m. to the Commissioner's Office with BOCC Consent Agenda Request Form, to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): I Fernando Galarza I Department/Office: Renew Purpose of Travel: Destination: 2026 Texas Suicide Prevention Symposium New Braunfels, TX Dates of Travel: 08/10/2026-08/12/2026 ITotal Trip Cost Estimate: Es This line will autf)-sotrr t.e. costs listed below) I Travel Tyt)e (Select One): Out of State Travel Out CONUS Travel (AK, HI or US Territory) Foreign Travel Extradition Grant Funded.? Yes 0 No Hotel - GSA Rate: Fund Number/Department: ARPA9000 If Yes, List Grant Amount: Cost Application (Select One): ® Government Rate 0 Conference Rate C3 Regular Rate Hotel - Nightly Rate: Hotel Total: 110.00j $ 110.00 $ lExplanation for Rate: Required if hotel cost is greater than per them or government rate Rental Car Required? If Yes, Rental Car Cost: ❑ Yes No I lAir Carrier: IA[aska and Southwest Preparer's Name/Title: I Piper Scroggins, Accounting Technician Cost of Flight: i$ 770.41 Conference Fee.-, $ 1,132.41 220.00 Total Estimate of MI&E During Travel. $ 142.00 Preapproved by EO/DH? Yes No (Addt'l costs for extend -ad stays, flight upgr--3 de s.. e ktC-, a; th, e expense of the traveler/1 If Yes, EO/DH Name: "ECEIVED renewGrIont 80*11"Viorlwll H004th 6 U*fllr,�"19 MAY ! 9 202fi Must attach training information including agenda,, start and end times and meal information. Forms missing any of the required information wit[ be returned for completion. ❖ All fields must be fitted in completely. 11 In -State Training 9 Out -of -State Training (Must be received 30-days in advance) (Must be received 90-days in advance) Employee Name: Fernando Galarza — ----- -- Training Name: Texas Suicide Prevention Symposium '26 Dates of training: August 11 - 12,2026 Departing Date: 08/10/2026 Departing Tune; Registration Cost: $0 Hotel.- 19 Yes 0 No Are there any room btocks for this training at a specific hotel? 1:1 Webinar Today's Date: 05/19/26 New Braunfels, TX Location: - - ----------- Returning Date: 08/12/2026 Returning Time: Transportation: 11 Personal Car 0 Company Car If requesting to take personal car, direct supervisor signature is required below) Airfare: 11 Yes 0 No Flight/ airport preferences? spokano to San Antonio - see preferred flight attached How will this training add value to the organization? We are contracted to provide suicide prevention services in our county, and we hope to attend this training to learn new approaches and ideas that we can bring back to strengthen our local efforts. TO BE COMPLETED BY DIRECT SUPERVISOR AND EXECUTIVE STAFF ONLY Estimated Cost: Funding Source: Training Approved: 0 No Direct Supervisor Signature: Personal Car Approval: 0 'yes 0 I Direct Supervisor Signature: ........... Executive Staff Approval.- ems 0 No Executive Staff Signature.* 'N - ------------- ------------------ -- Date: ate: Date: yg L-1 11JI101 I I DO N AT'E DONATE CRYPTO N TEXAS SUICIDE P EVENTION SYMPOSIUM join us August 11 - 12 for the 2026 Texas Suicide Prevention Symposium. We will be in person at the New Braunfels Convention Center! A virtual option is available for those who cannot make it in person. Manage Cookie Consent Texas Suicide Prevention Symposium 2Q26 August 11 -12, 2026New Braunfels Civic & Convention Center In -person attendance strongly encouraged I Virtual option available Learn. Connect. Act. Join Texas premier s-uicide prevention gathering — in person.. The Texas Suicide Prevention Symposium 2026 is a two day, statewide convening of professionals, advocates, educators, military and Veteran partners, and community leaders committed to saving lives and strengthening prevention efforts across Texas* Join us August 11 -12 in New- Braunfels for a dynamic-, in person experience featuring nationally recognized speakers, han.dsonr resources, and meaningful opportunities to connect with peers from across the state. Why Attend In Person? In person attendance unlocks the full symposium experience — including exclusive benefits not available virtually: 0 A ,R Two full days of nationally recognized speakers sharing research.. best practices, and practical tools you can use immediately • Pickup 988 and safety planning supplies to take back to your school,, campus, organization, or community M Explore our outstanding Exhibitor Hall, featuring prevention resources, tools, and programs from organizations across Texas WNEW THIS YEAR! Join your colleagues for happy hour meet and greet on August 11 at the end ot'Lhe day: * K-12 professionals Manage Cookie Consent Higher Education Local community partners Military & Veteran -serving organizations �4 (More meetup details coming soon!) I-Ktt t-ot fluing toucaLlon U(IIL5 kk-tus) ana i to rrotessionai ueveiopri1e()L MOWS for in person attendees * A registration fee applies initially and will be fully refunded after the event for those attending in person What You'll Take Home • Actionable strategies to strengthen suicide prevention efforts • New connections with partners across sectors and regions • Practical materials to support prevention and safety planning • Renewed energy, purpose, and commitment to this lifesaving work Hosted by the Texas Suicide Prevention Council This symposium is proudly hosted by the Texas Suicide Prevention Council, a statewide network of more than 140 partner organizations working collaboratively to reduce suicide and promote mental wellness across Texas. Can't Be There in Person? No Problem. We know not everyone can travel — virtual attendance is available via Zoom. join us online to hear from nationally recognized speakers, access high quality learning sessions, and - stay connected to suicide prevention efforts across Texas. Please note: In person meetups, exhibitor interactions, and resource materials are available to in person attendees only. Virtual attendees must purchase CEU's for a small fee that is non-refundable. Hours awarded are determined by active session attendance. join the Conversation Follow #TxSP26 and tag @StopTxSuicides to connect with fellow attendees, speakers, and partners. See you on Linkedin, Instagram and X! .......... T E X AS SUICIDE PREVENTION 1 onsent REGIS�ooTP DAYManage ie Space is limited for in person attendance. For IN PERSON registration, please click the following link. 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): Marisol Gonzales Department/Office: Renew Purpose of Travel: Destination: 2026 Texas Suicide Prevention Symposium New Braunfels, TX Dates of Travel: 08/10/2026-08/12/2026 ITotal Trip Cost Estimate: Es (This line witt auto -sum the costs listed beloyto Travel Twe (Select One) : Q Out of State Travel Q Out CONUS Travel (AK, HI or US Territory) E) Foreign Travel 0 Extradition Fund Number/Department: ARPA 9000 Grant Funded? If Yes, List Grant Amount: Cost Application (Select One)* Yes Government Rate ❑ No ❑ Conference Rate ❑ Regular Rate Hotel - GSA Rate. Hotel - Nightly Rate: Hotel Total: $ 110.001 1 $ 110.00 Is Expta nation for Rate: Required if hotel cost is greater than per them or government rate Rentat Car Required? If Yes, Rental Car Cost: 0 Yes 0 No Air Carrier: Alaska and Southwest Preparer's Name/Title: Piper Scroggins, Accounting Technician Cost of Flight: i$ 770.41 Conference Fee: I$ 1,132.41 Total Estimate of MME During Travel: $ 142.00 Preapproved by EO/DH? 0 Yes C) No (Addt'( costs for extended stays, flight upgrades, eitc. at Me expense of the traveler) If Yes, EO/DH Name: Out of State Travel Request Application RE CEIVED Must attach training information including agenda, start and end times and meat information. Forms missing any of the required information will be returned for completion. All fields must be filled incompletely. El In -State Training A Out -of -State Training (Must be received 0-days in advance) (Must be received 90-days in advance) Marisol Gonzalez Employee Name: Training Name: Texas Suicide Prevention Symposium26 Dates of train ing:,August 11 - 12,2026 Departing Date: 08110/2026 Departing Time: _ Registration Cost: $0 Hotel- 9, Yes El No Are there any room blocks forthis training at a specific hotel? 11 Webinar Today's Date: _05/19/26 Location: New Braunfels, TX Returning Date: 08/12/2026 Returning Tire: Transportation: IP Personal Car E-] Company Car (If requesting to take personal car, direct supervisor signature is required below) Airfare: IN Yes F-1 No Flight / airport preferences? Spokane to San Antonio - see preferred flight attached How will this training add value to the organization? We are contracted to provide suicide prevention services in our county, and we hope to attend this - ------------------- - ------- training to learn new approaches and ideas that we can bring back to strengthen our local efforts. TO BE COMPLETED BY DIRECT SUPERVISOR AND EXECUTIVE STAFF ONLY . Estimated Cost: Funding Source: Training Approved: El No Direct Supervisor Signature: Personal Car Approval: E01 Ye Direct Supervisor Signature: Executive Staff Approval: DNo , Ir Executive Staff Signature: Date: Date: f Date: IL- I IV1101 # I L) 0 N A TE DONATE. CRYPTO P TEXAS SUICIDE PREVENTION SYMPOSIUM join us August 11 - 12 for the 2026 Texas Suicide Prevention Symposium. We will be in person at the New Braunfels Convention Center! A virtual option is available for those who cannot make it in person. Manage Cookie Consent Texas Suicide Prevention Symposium 2Q26 August 11-12, 2026Ne,w Braunfels Civic & Convention Center In -person attendance strongly encouraged I Virtual option available Learn. Connect. Act. join Texas" premier suicide prevention fathering - in person., The Texas Suicide Prevention Symposium 2026 is a t day, statewide conveni g of two e in professionals, advocates, educators, military and Veteran partners, and community leaders committed to saving lives. and strengthening - -prevention efforts across Texas, join us August 11 -1 2'1'n New Braunfels for a- dynamic I in person experience featuring nationally recognized speakers, handson resources, and meaningful op'portunit'les to connect with peers from across the state. Why Attend In Person? In person attendance unlocks the full symposium experience —'including exclusive benefits not available virtually-, Two full days of nationally recognized speakers sharing research, best practices, and practical tools you can use immediately Pick up 988 and safety planning supplies to take back to your school, campus, organization, or community Q Explore our outstanding Exhibitor Hall, featuring prevention resources, tools, and programs from organizations across Texas 0 NEW THIS YEAR! Join your colleagues for happy hour meet and greet on August 11 at Lhe end 'd of Une ay: • K-1 2 professionals Manage Cookie Consent • Higher Education • Local community partners • Military & Veteran -serving organizations (More meetup details coming soon!) L-11T101" t-Ktt Wr ijuing LUULaLlon units t�_tUb) df'IU ii:Avruiessiunai ueveiapinerlL riours for in person attendees A registration fee applies initially and will be fully refunded after the event for those attending in person What You'll Take Home • Actionable strategies to strengthen suicide prevention efforts • New connections with partners across sectors and regions • Practical materials to support prevention and safety planning • Renewed energy, purpose, and commitment to this lifesaving work Hosted by the Texas Suicide Prevention Council This symposium is proudly hosted by the Texas Suicide Prevention Council, a statewide network of more than 140 partner organizations working collaboratively to reduce suicide and promote mental wellness across Texas. Can't Be There in Person? No Problem. We know not everyone can travel — virtual attendance is available via Zoom. join us online to hear from nationally recognized speakers, access high quality learning sessions, and stay connected to suicide prevention efforts across Texas. Please note: In person meetups, exhibitor interactions, and resource materials are available to in person attendees only. Virtual attendees must purchase CEUs for a small fee that is non-refundable. Hours awarded are determined by active session attendance. join the Conversation Follow #TxSP26 and tag @StopTxSuic*ldes to connect with fellow attendees, speakers, and partners. See you on Linkedin, Instagram and X! ......................... .................. TE X A S .......... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .......... ...... SUICIDE.............................. . ....... .... ...... . . . . . . . . . . . . . . . . . . .......... PREVENTION COLLABORATIVE DAY REGI �ooiTPonsent Manag e Space is limited for in person attendance. For IN PERSON registration, please click the following link. E_? 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): I Dayana Ruiz I Department/Office: Renew Purpose of Travel: Destination: 2026 Texas Suicide Prevention Symposium New Braunfels, TX Dates of Travel*. 08/10/2026-08/12/2026 jTotal Trip Cost Estimate: Es (This line Witt auto -sum Me Costs fisted below) I Travel Twe (Select One #. Out of State Travel Out CONUS Travel (AK, HI or US Territory) Foreign Travel Extradition Grant Funded.? �j Yes No Hotel - GSA Rate: Fund Number/Department: ARPA 9000 If Yes, List Grant Amount: Cost Application (Select One) Government Rate ❑ Conference Rate ❑ Regular Rate Hotel - Nightly Rate: Hotel Total: 110.00 $ 110.00 $ lExplanation for Rate: Required if hotel cost is greater than per them or government rate Rental Car Required? It Yes, Rental Car Cost: ❑ Yes No lAir Carrier: IA[aska and Southwest j Preparer's Name/Title: jPiper Scroggins, Accounting Technician Cost of Flight: $ 770.41 Conference Fee: $ 19132.41 220.00 Total Estimate of MI&E During Travel: $ 142.00 Preapproved by EO/DH?. C] Yes 0 No (Addt'l costs for extended stays, flight upgrades, etc. at the expense of the traveler) If Yes, EO/DH Name: F renetw (011"ipt "tVDvior-01 Hookh a U*an*#1S MA"Y li 194 20426 **** Must attach training information Including agenda, start and end times and meat information. **e Forms missing any of the required information will be returned for completion. **** All fields must be filled in completely. D In -State Training @9 Out -of -State Training 1:1 Webinar (Must be received 0-days in advance) (Must be received 90-days in advance) Employee Name: Dayana, Ruiz Training Name:,Texas Suicide Prevention Syrnposium26 Today's Date: 05/19126 Location. New Braunfels, TX Dates of training: August 11 - 12,2026 Departing Date: 08110/2026 Returning Date: 08/12/2026 Departing Time:.a Returning Time,: Registration Cost: $0 Hotel-. 19 Yes No Are there any room bloccfor this training at a specific hotel? Transportation- N 11 PL ersonal Car 0 Company Car if requesting to e personal c t direct supervisor signature is required below) Airfare: 11 Yes 0 No Flight / airport preferences? 'Spokane to San Antonio - see preferred Et to attached Now will this training add value to the organization? We are contracted to provide suicide prevention services in our county, and we hope to attend this training to learn new approaches and ideas that we can bring back to strengthen our local efforts. TO BE COMPLETED BY DIRECT SUPERVISOR AND EXECUTIVE STAFF ONLY Estimated Cost: Training Approved: Direct Supervisor Signature: W_� ONo Funding Source: Personal Car Approval: E. Yes Direct Supervisor Signature: Executive Staff Approval: e 0 /NN/ Executive Staff Signature: ____ . ......... --------- — -------- -- - - ------------ - ------ Date: Date: -- Date: L-1 IvIlot SUICIDE PREVENTION DONATE DONATE CRYPTO TEXAS SUICIDE PREVENTION SYMPOSIUM • �J join us August 11 - 12 for the 2026 Texas Suicide Prevention Symposium, We will be in person at the New Braunfels Convention Center! A virtual option is available for those who cannot make it in person. Manage Cookie Consent Texas suicide Prevention Symposium 2026 August 11 -12, 2026New Braunfels Civic & Convention Center In. person attendance strongly encouraged I Virtual option available Learn. Connect. Act, join Texas' premier suicide prevention gathering-- in person. The Texas Suicide Prevention Symposium 2026 is a two day, statewide convening of professionals, advocates, educators, military and Veteran partners, and community leaders committed to saving lives and strengthening prevention efforts across Texas. join us August 11 -1 in New Braunfels for a dynamic 0 in person experience featuring nationally recognized speakers i gful opportunities to handson resources, and mean*n opportunities connect with peers from across the state. Why Attend In Person.? In person attendance unlocks the full symposium 1� including exclusive experience — in benefits not available virtually: 0 *0 Two full days of nationally recognized speakers sharing research, best practices, and practical tools you can use immediately 0 Pick up 988 and safety planning supplies to take back to your sch6ol, campus, organization, or community E] Explore our outstanding Exhibitor Hall, featuring prevention resources, tools, and programs from organizations across Texas It NEW THIS YEARI Join your colleagues for happy hour meet and greet on August 11 at the end ol'Lhe day., • K-1 2 professionals Manage Cookie Consent • Higher Education • Local community partners • Military & Veteran -serving organizations Ei (More meetup details coming soon!) L-11!r1a#jj mtt: t-or r-juing t0UCdL10r1 UMLS (k_tUS) d(JU i t/A rruiessionai ueveioprijem NoUr-S for in personattendees * A registration fee applies initially and will be fully refunded after the event for those attending in person What You"ll Take Home * Actionable strategies to strengthen suicide prevention efforts e New connections with partners across sectors and regions & Practical materials to support prevention and safety planning 9 Renewed energy, purpose, and commitment to this lifesaving work Hosted by the Texas Suicide Prevention Council This symposium is proudly hosted by the Texas Suicide Prevention Council, a statewide network of more than 140 partner organizations working collaboratively to reduce suicide and promote mental wellness across Texas. Can't Be There in Person? No Problem, We know not everyone can travel — virtual attendance is available via Zoom. join us online to hear from nationally recognized speakers, access high quality learning sessions, and stay connected to suicide prevention efforts across Texas. Please note: In person meetups, exhibitor interactions,, and resource materials are available to in person attendees only. Virtual attendees must purchase CFI's for a small fee that is non-refundable. Hours awarded are determined by active session attendance. join the Conversation Follow #TxSP26 and tag @StopTxSu*lcides to connect with fellow attendees, speakers, and partners. See you on Linkedin, Instagram and X! .................... -------------------- ----------- TEXAS .................. ................. SUICIDE PREVENTION ........................................ v1p COLLABORATIVE 1 onsent REGIS�oo�cieP DAYManage Space is limited for in person attendance. For IN PERSON registration, please click the following link. X 7/15/26, 11:14 AM GSA U.S. General Services Administration FY 2026 per diern rates for New Braunfels, "Texas FY 2026 per them rates for New Braunfels, Texas Primary destination County 2025 Oct Nov Doc 2026 Jan Feb Mar Apr May Jun Jul Aug I Sep Standard Rate Applies f©r all locations without specified rates I- $110 $110 1--.1 ........... $110 $110 $110 --l-1.1-1--l- $110 I -., $1110 I- - - —L�-- $110 1 $110, -.L $110 1 , $110 1 1-. $110 t-) ttp4,,,://www. gsa. gov/travel/plan -book/pe r-d iern-rates/per-diern- rates-resu Its ?action= pe rd iem s—report& fiscal_,yea r=2026&-state='r X ftity= New Bra unfe I s&zip = 1/1 7/15/26, 11 : 14 AM A U.S. General Services Administration Meals and incidental expenses (M&IE) rates and breakdown Meals and incidental expenses (M&IE) rates and breakdown Primary destination County MWE total Breakfast Lunch Dinner Incidental expenses First and lastday of travel Standard Rate Applies for all locations without specified rates $68 $16 $19 $28 $5 $51.0 - 0 ZIP= https://www.gsa,govltraveI/plaii-book/per-diem-rates/�per-diern-rates-resuIts?action=perdiems re porWisca I -yea r= 2026&s late =TX&city= New Braunfels& i TRAVEL ALLOWANCE CLAIM COUNTY AUDITOR GRANT COUNTY, WASHINGTON Claimant: iDayana Ruiz Claimant's Dept: Prevention Purpose of Travel: 12026 Texas Suicide Prevention Sympd Destination: INew Braunfels, TX MEALS DATE BF L D IE TOTAL 8/10/2026 $12.00 $14.25 $21.00 $3.75 $51.00 8/11/2026 $0.00 $19.00 $28.00 $5.00 $52.00 8/12/2026 $0.00 $14-25 $21.00 $3.75 $39.00 $0.00 $0.00 $0.00 $0.00 TOTAL 1 $142.00 1 CERTIFICATION 1, 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: r MW Ar 4=W W AMW 4W A"W AW AMW AF -� JW.� ar �W Mr A�W Ar AWW ar AMW 1W AMW Iff AMW 1W AMW 1W.AP 0 TRAVEL VERIFICATION 0 0 0 I U H-L LUMUL I LM UEUN U I UKJY VAL X 0 1, the undersigned, do hereby certify under penalty of perjury that the I oplanned travel referenced on this form did, in fact, occur on and for the o Iduration of the dates provided on this form. Additionally, I attest that I Othe allowance provided prior to travel was rightfully owed to me as a 0 result of this travel. 1 0 0 JClaimant Name: 0 JClairnant Signature: 0 Nate: 0 o,r,W A* "W 1W "W AV "W AV "W 4W "W 10'AMW Iff "W JW "W 4W IMW AW 4=W Ar AMW Ar "WW AMW 4W Departments shall maintain a copy of this form. The travel verification section must be completed, on the Department's copy, upon the 0 employee's return from travel. The department shall retain the fully I ocompleted copy for six years or in accordance with the Washington State# I Records Retention Schedule L(j.S2011-184 Rev. 3). 1 4,W A� AV AMW �ff AMW AV �MW �ff .MW W 1"W AW 1� Iff IMW AV AMW Iff AMW AV �W W AMW 'W "W.W AM MILEAGE DATE FROM (uTy. is TO (ciTy, s-n MILES RATE TOTAL 0. 7 235 $0.00 $0.725 $0.00 $0.725 $0.00 S0.725 $0.00 $0.7251 $0.00 TOTAL I $0. *TOTAL REIMBURSEMENT CLAIM $142.00 *Amount may be different due to rounding* Authorization required for Employees - ELECTED OFFICIAL, DEPARTMENT HEAD, OR DESIGNEE Name (printed): Signature: Date: thorization required for County Commissioners or Elected Officials: I COUNTY AUDITOR Name (printed): Signature: Date: uthorization required for the County Auditor, Department Heads, meals expenses outside of travel status, and out of state travel: COUNTY COMMISSIONERS Commissioner Commissioner: Chairman BOCC: Date: TRAVEL ALLOWANCE CLAIM COUNTY AUDITOR GRANT COUNTY) WASHINGTON Claimant: I Fernando Galarza Claimant's Dept.: [Prevention Purpose of Travel: [2026 Texas Suicide Prevention Sym Destination: New Braunfels, TX MEALS DATE BF L D 1E TOTAL 8/10/2026 $12.00 $14.25 $21.00 $3.75 $51.00 8/11/2026 $0.00 $19.00 $28.00 $5.00 $52.00 8/12/2026 $0.00 $14.25 $21.00 $175 $39.00 $0.00 $0.00 $0.00 1 J $0.00 TOTAL 1 $142.00 1 CERTIFICATION 1, 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: IWAMW WMWW,00W 4W AMWW AWWW AMW WMW W AMW�W,=W W.�W W,�W �WW MUWW,� "I TRAVEL VERIFICATION 0 0 1 1 0 -`" E COMPLETED UPON RETURN ONL Y 0 # 0 1, the undersigned, do hereby certify under penalty of perjury that the oplanned travel referenced on this form did, in fact, occur on and for the # Iduration of the dates provided on this form, Additionally, I attest that I Othe allowance provided prior to travel was rightfully owed to me as a # I result of this travel. I 0 0 1Claimant Name: I 0 lClaimant Signature: # 1 Date: #,W AMW *W 4=W WW Ad=W AW AMW AW 41=W 4W AMW AW WMW 4WMW IV i 4W AMW 10'1"W 1WMWAW IMW AV,1"WW 1 Departments shall maintain a copy of this form. The travel verification 0 section must be completed, on the Department's copy, upon the 0 1 employee's return frorn travel. The department shall retain the fully i #completed copy for six years or in accordance with the Washington State# I Records Retention Schedule LqS2011-184 Rev. 3). 1 AW,MW AV �WArAMWW A=WaPMWWMffAVdP ANWArAXW it AWW " MIND WAMW 26"�W Ar AMWAW.M MILEAGE DATE FROM (nTy, sT) TO (crry, sp MILES RATE TOTAL $0.725 $0.00 $0.725 $0.00 $0.725 $0.00 $0.725 $0.00 $0.725 $0.00 TOTAL 1 $0.00 1 *TOTAL REIMBURSEMENT CLAIM E$142.OED *Amount may be different due to rounding* uthorization required for Employees-, JELECTED OFFICIAL, DEPARTMENT HEAD, OR DESIGNEE Name (printed): Signature-, Date: uthorization required for County Commissioners or Elected Officials: 1COUNTY AUDITOR Name (printed): Signature: -Date: uthorization required for the County Auditor, Department Heads, meals expenses outside of travel status, and out of state travel: COUNTY COMMISSIONERS Commissioner Commissioner: Chairman BOCC: Date: TRAVEL ALLOWANCE CLAIM COUNTY AUDITOR GRANT COUNTY., WASHINGTON Claimant: I Marisol Gonzales I Claimant's Dept: I Prevention Purpose of Travel: 12026 Texas Suicide Prevention SMpd Destination: New Braunfels, TX MEALS DATE BF L D IE TOTAL 8/10/2026 $12.00 $14.25 $21.00 $3.75 $51.00 8/11/2026 $0.00 $19.00 $28.00 $5.00 $52.00 8/12/2026 $0.00 $14.25 $21.00 $3.75 $39.00 $0.00 $0.00 $0.00 $0.00 TOTAL 1 $142.00J CERTIFICATION 1, 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: drawrmr "w Aw "WW AMM WMW AV � 4r � W,� AV - W " " A=W,01' I TRAVEL VERIFICATION TO HE -COMAEM UPON RETUM-QNL 1, the undersigned, do hereby certify under penalty of perjury that the 1 Oplanned travel referenced on this form did, in fact, occur on and for the o Iduration of the dates provided on this form. Additionally, I attest that I Othe allowance provided prior to travel was rightfully owed to me as a 0 fresult of this travel. I 0 lClamant Name: 0 JClaimant Signature: 0 1 Date: 0 0" MW 1W � AW "WW AMW AW.MW AW A�,ff "WW -MW ",=W AW form.. AV AMW AW AMW �ff -=W.W 41 Departments shall maintain a copy of this for. The travel verification section must be completed, on the Department's copy, upon the employee's return from travel. The department shall retain the fully ocompleted copy for six years or in accordance with the Washington StateO Records Retention Schedule (GS2011-184 Rev. 3). AAW AMW Iff "W A I�W Aff � �ff IMW ff AMW ",MW AV A� AV "W RAW: W MILEAGE DATE FROM (ciTy, sT) TO (CITY, ST) MILES RATE TOTAL $0,725 $0.00 $0.725 $0.00 $0.725 $0.00 $0.725 $0.00 $0.725 $0.00 TOTAL $Q.00 *TOTAL REIMBURSEMENT CLAIM = $142.00 *Amount may be different due to rounding* thorization required for Employees: JELECTED OFFICIAL, DEPARTMENT HEAD, OR DESIGNEE Name (printed): Signature: Date: uthorization required for County Commissioners or Elected Officials: ICOUNTY AUDITOR Name (printed): Signature: Date: Authorization required for the County Auditor, Department Heads, meals expenses outside of travel status, and out of state travel: COUNTY COMMISSIONERS Commissioner Commissioner: Chairman BOCC: IDate: r*% bnky*4 c.vc and Wrova + 71 ;AT ti GEG f-wits Hjhs dtta4s f Expodsa X �V t; expedia.Com,/fligM-iOtOrf"*t§On?jounw-yContwx"tAom)d=AQrrlBAqbBHY I LXWvyOxMmxmkjQ(JUDiniNlYOMtQ40IN kNDqXZWJnYWU5MD8MN,0xN O*LX N 0LX*V 1 LXNvq*xt.4mFmNzQWDJmNjYOVIQ4001w'-."VxZW)rnV'AtJSfo#D$#nNiOINSOxf9luUYA'f GrAAt Covoty. 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A Expedia Shop travel Your flights > Seats ) Checkout Review your trip Spokane to San Antonio 7,23am - 3:46prn (6h 23m I stop) a Alaska Airlines - Mon, Aug 10 Flight details San Antonio to Spokane 6:30prn - 1015pm (5h 55m, I stop) 10 Southwest Airlines - Wed, Aug 12 Flight details fa`� Open app 4, USD List your property Supper Trips N& Lanny Change flight Change flight Your flights have different conditions for making changes This trip is a combination of 2 ofie - wjy fligl',)ts, each subject to its own rules and restrictions, Changes or cancellations apply to each ficket individually. t0o, ('-�! it Qffnll�w Spokane to San Antonio a Alaska Airlines San Antonio to Spokane * Southwest Airlines Your fare: MaIn Your fare: Basic Price details Traveler 1: Adult $682.41 Flight $587,91 Taxes, fees, and charges Q) $94.SO Seats $88.00 Trip total $770.41 Rates are shown in US dollars Skip to Checkout (D Cree cancellation here's no fee to cancel within 24 hours of Cr booking. 7/15126, 11:10 AM Flight details I Expedia .71 Expedia Shop travel Op...USD W_- List your property Support Trips Lanny Your flights > Seats > Checkout Review your trip Spokane to San Antonio 7:23am - 3:46prn (6h 23m, 1 stop) 0 Alaska Airlines * Mon, Aug 10 Flight details Change flight San Antonio to Spokane 6:30pm - 10:25pm (5h 55m, 1 stop) 41� Southwest Airlines *'wed, Aug 12 Flight details Change flight Your flights have different conditions for making changes This trip is a combination of 2 one-way flights, each subject to its own rules and restrictions. Changes or cancellations apply to each ticket individually, More information Spokane to San Antonio U Alaska Airlines Your fare: Main Seat choice included Carry -on bag included 1st checked bag for a fee: $45 X Non-refundable 4) Changes included, only pay fare difference San Antonio to Spokane 0 Southwest Airlines Your fare: Basic ID Seat choice for a fee 4) Carry -on bag included ID 1st checked bag for a fee: $45 • Non-refundable (flight credit if you cancel) • Changes not allowed Get more with Choice Seat choice included Changes included, only pay fare difference 10 Free change for same -day flight if available (original airports) See all fares https:l/www.expedia.com/Flight-information?joumeyContinuationld=AQrrBAqbBHY1 LXNvcyOxMmFmNzQOODJmNjYOMjQ40DIkNDgxZWJmYWU5M... 1 R 7/15126, 11:10 AM Flight details I Expedia Wyndham Garden San Antonio Airport Pool Hot tub Fully refundable 8,6 Excellent 1,701 reviews Explore places to stay 4 Price details Traveler 1: Adult Flight Select stay Select stay $870 per traveler includes flight + stay $870 package total $682.41 $587.91 https:llwww.expedia.comIFlight-Information?joumeyCont-inuationld=AQrrBAqbBHY! LXNvcyOxMmFmNzQOODJmNjYOMjQ40DIkNDgXZWJmYWU5M. _ 4/7 7115126, 11:10AM Flight details I Expedia Taxes, fees, and charges (D Seats Trip total Rates are shown in US dollars ii oxpodi a group Company About Jobs List your property Partnerships Newsroom Next: Seats Skip to Checkout Free cancellation There's no fee to cancel within 24 hours of booking, Tell us how we can Improve our site i Share ,are feedback Go further with the Expedia app Get up to 20% off with Member Prices on hotels. Our app deals help you to save on trips so you can travel more and manage it all on the go. Scan the OR code with your device camera and download our app $94.50 $88.00 $770.41 Investor Relations https:l/www,expedia.com/Flight-information?joumeyContinuationld=AQrrBAqbBHY1 LXNvcyOxMmFmNzQOODJmNjYOMjQ4ODlkNDgXZWJmYWU5M.. 517 7/15/26, 10:48 AM new braunfels civic and convention center airports nearby - Google Search 4 new braunfels civic and convE X S_ 19 9 000 �� Al Mode All Maps News Images Videos Shopping More - Tools + Al Overview If you are flying commercially, the closest major options to the New Braunfels Civic and Convention Center (375 astell Ave) are San Antonio International Airport and **Now* Austin- ergstrrom International.Airport. 71 Expedia Primary Commercial Airports: San Antonio International Airoort.(5AT) .................. 000.00WOWS* ...... .................. ....... ... ( A 5.1K) International airport Open - San Antonio., TX Located about 27 miles (30-35 minutes) southwest of the convention center via 1-35 S. It is the closest major hub. ;4 Expedia +3 Austin- Berg st rom International Airport (AUS), ............... ** ...... Airport ....... 4,1 (17.OK) International airport Austin, TX Located about 48 miles (50 - 0 minutes) northeast via 1-35 N. It provides a wider variety of direct and international flights. 0 Yelp +3 Private Aviation & Local Flights: New Braunfels National Airr)ort (KBAZ). .......... _ .................... ................ 4.8 (39) Air port Open - 2333 FM 758 Located just 5 miles (about 10 minutes) away at 2333 FM 758. This is a general aviation facility that primarily serves corporate jets, private charters, and local aviators. 0 Yelp +2 https-//www.google.com,lsearch?q=new+braunfels+civic+and+convenbon+center+airports+nearby&rtz=1C1GCEA—enUS121OUS121O&oq=new+braun... 1/5 (More meetup details coming soon'.) • 4- TCOLE, TEA, NASW, Nurse Contact hours for(Ln person attendees A registration fee applies i nit! a I �1_ 1refunded after the event for those attending in person Ctk,,�Cj e�Ajen o6 K obo ukf i What You'll Take Home • Actionable strategies to strengthen suicide prevention efforts • New connections with partners across sectors and regions • Practical materials to support prevention and safety planning • Renewed energy, purpose, and commitment to this lifesaving work Hosted by the Texas Suicide Prevention Council This symposium is proudly hosted by the Texas Suicide Prevention Council, a statewide network of more than 140 partner organizations working collaboratively to reduce suicide and promote mental wellness across Texas. Can't Be There in Person? No Problem. We know not everyone can travel — virtual attendance is available via Zoom. join us online to hear from nationally recognized speakers, access high quality learning sessions, and stay connected to suicide prevention efforts across Texas. Please note- in person meetups, exhibitor interactions, and resource materials are available to in person attendees only. Virtual attendees must purchase CEU's for a small fee that is non-refundable. Hours awarded are determined by active session attendance, join the Conversation Follow #TxSP26 and tag @StopTxSuicides to connect with fellow attendees, speakers, and partners. See you on Linkedin, Instagram and X1 REGISTER TODAY Space is limited for in person attendance. For IN PERSON registration, please click the following link. Piper M. Scram ins From: Lisa Sullivan <Iisa.sullivan@texassuicideprevention.org> Sent: Tuesday, June 16, 2026 5:45 PM To: Piper M. Scroggins; Zelda Gomez Subject: Re: New TxSPC Form Entry: Contact Us If they register and pay for CEUs in advance AND they attend in person, their $35.00 fee will be refunded. We are also offering an AS+K? About Suicide to Save a Life Training of Workshop Leaders on August 13 th it's a great community helper training that has been adopted by various states beyond Texas. It is a best practice program as designated by SPRC. That cost is $795.00 per seat. I know we have had inquiries before from Washington, so I'm not sure where you all are at'. Thanks! Lisa Lisa Sullivan Executive Director TEXAS M S-UICI DE'* PREVENTION COLLABORATIVE" (512 j 589, 2909 fisa su H tv an ,tea suicidepreventi on,or Texas SuicidePrevention, oEg t3 rm*i 11 [In From: TxSPC Website <Iisa.suLLivan@texassuicideprevention.org> Date-, Monday, June 15, 2026 at 12:39 PM To: Lisa Sullivan <Iisa.suLLivan@texassuicideprevention.org> Subject: New TxSPC Form Entry-. Contact Us -Piper M. Scroggins -------- - - - ----------- --------- From: Zelda Gomez <zeida.gomez@texassuicideprevention.org> Sent: Wednesday, June 17, 2026 10:31 AM To: Piper M. Scroggins; Lisa Sullivan Subject: Re: New TxSPC Form Entry: Contact Us .......... ......... ... VEXTERNAL EMAIL* ril-'-491'."i �� '�r I 1p is- J A_ via%, No. The event itself is free to attend. IF you are requiring, CEUs there wiLL be a $35 fee which can be refunded IFyou attend in person. Zelda Gomez TEXAS SUICIDEi PREVENTION COLLABORATIVV zeida.gomeza-texassuiddep,revention.o[g Texas SuicidePrevention.orn itt From: Piper M. Scroggins <pmscroggins@grantcountywa.gov> Date: Wednesday, June 17, 2026 at 11 A7 AM To: Lisa Sullivan <Iisa.sultivan@texassuicideprevention.org>, Zelda Gomez <zetda.gomez@texassuicideprevention.org> Subject: RE: New TxSPC Form Entry: Contact Us Okay perfect, thank you for the information, To clarify, the registration for this event is $35 per person and is due at the time of registering online, correct ? - Thank you, Accounting Technician Finance Department Ph: 509.765.9239 ext. 5351'35 1441 E. Yonezawa Blvd. Ste. 3 Moses Lake.. WA 98837 renewGront Siehovkx4W H"t;h & WoUnwn 1 From: Lisa Sullivan <Iisa.suilivan@texassuicideprevention.org> Sent: Tuesday, June 16, 2026 5:45 PM To: Piper M. Scroggins <pmscroggins@grantcountywa.gov>; Zelda Gomez <zeida.gomez@texassuicideprevention.org> Subject: Re: New TxSPC Form Entry: Contact Us EXTERNAL EMAIL Breakfast and Lunch are not provided. If they register and pay for CEUs in advance AND they attend in person, their $35.00 fee will be refunded. We are also offering an AS+K? About Suicide to Save a Life Training of Workshop Leaders on August 13"" - it's a great community helper training that has been adopted by various states beyond Texas. It is a best practice program as designated by SPRC. That cost is $795.00 per seat. I know we have had inquiries before from Washington, so I'm not sure where you all are at'. Thanks! Lisa Lisa Sullivan Exccutive Director TEXAS SUICIDE-i PREVENTION COLLABORATIVV ( 5 1 1 ) 18L9 .22, 90"9 li§4,5ullivan(tiEtc-<a-qsuicldf.-mevention. or, 9 'NnasSuicidePrevention.org C3 H 11 [12 From: TxSPC Website < tsar .sutlivan@�Texassui-c > i d e p (evenom Date: Monday, June 15, 2026 at 12:39 PM To: Lisa Sullivan <iaa.,SL4 n@texassuic de _ _L(Na-11 - - - -I,----- - - . I -pr��venti om-o-rp Subject: New TxSPC Form Entry: Contact Us 2 Erna*11 rarno'countywag! ......... Your li4tty Moses Lake, WA Message Hello, I have three employees that will be attending this training in August. However, I have some questions: 1. Is breakfast or lunch provided?, and 2. What is the exact dollar amount that Is initially charged at registration that will be refunded at the end of the event? Please let me know. Thank you,