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HomeMy WebLinkAboutOut of State Travel Request - RenewGRANT COUNTY COMMISSIONERS AGENDA MEETING REQUEST FORM (Must be submitted to the Clerk of the Board by 12:00pm on Thursday) REQUESTING DEPARTMENT: RENEW DATE:8/25/2026 REQUEST SUBMITTED BY. Raquel FIICG PHONE:509-765-9239 CONTACT PERSON ATTENDING ROUNDTABLE.. Dell Anderson CONFIDENTIAL INFORMATION: 17YES *NO ElAgreement / Contract CAP Vouchers '--Appointment / Reappointment E11ARPA Related 0Bids / RFPs / Quotes Award 17Bid Opening Scheduled 01 Boards I Committees 17 Budget El Computer Related E]County Code 0 Emergency Purchase El Employee Rel. ElFacilities Related ElFinancial El Funds OHearing * Invoices / Purchase Orders El Grants — Fed/State/County Ell -eases 0 MOA / MOU * Minutes 171Ordinances *Out of State Travel []Petty Cash El Policies El Proclamations El Request for Purchase 70 Resolution El Recommendation Professional Sere/Consultant []Support Letter C Surplus Req. OTax Levies E:,Thank You's 1EITax Title Property EIWSLCB - -----------.............. -- - ---- -- ------------- - ----- Brooke will be attending the Annual Rocky Mountain Laserfiche User Group in Boise, ID, and Will be traveling Oct 7-8, 2026. This allows hands on training as well as networking and problem solving among other Laserfiche users. If necessary, was this document reviewed by accounting.? [7-j Y E S 0 APPROVE: DENIED ABSTAIN D 1 : (4 Po D2- t- D3: T 4/23/24 1:1 NO *N/A * N/A 41 .1 'xl W� 4�,A&gx- q A -0 b Po - MR gg- P.9 e A 3 $Ka! .. �e. �onsen� erg x .,� 40 Traveler's Name(s: Brooke Decubber Department/Office# RENEW ) Purpose of Travel: Destination: Annual Rocky Mountain L-aserfiche Us'e'r Grou' P Dates of Travel: 10/7-10/812026 Total Trip Cost Estimate: 877#90 ------ ------- (This line will auto -sum the costs listed below) Travel Type (Seteet One) Fund Number/Department: Out of State Travel [] Out CONUS Travel (AK, HI or, US Territory} Foreign TrovaC Extradition 0, Grant Funded? If Yes, List Grant Amount: Cost Application (`electOne): Q_ Yes Government Rate .0 N© Conference, Rate :.RegularRate E.Z Hotel GSA Rate: Hotel - Nightly Rate: Hotel Total: 22.0024.00' 191-001 Explanation for Rate: Required if hotel cost is greater than per them orgovernment rate Conference Fee: meeting ptace, convenient drive. Government. rate was higherthanFosest to Is their,Lowest regular rate. Rental Car Required? If Yes, Rental Car Cost: Total Estimate of MI&E DuringTravel. Yes 653-90- No Air Carrier: Cost of Flight: n/a (A ddt'l casts 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 Raquet Fike DeU Anderson No L TRAVEL ALLOWANCE CLAIM COUNTY AUDITOR GRANT COUNTY, WASHINGTON Claimant: I Brooke Decubber Claimant's Dept.: IRENEW Purpose of Travel: I Annual RocMtn Laserfiche User Gr Destination: Boise, ID MEALS DATE BF L D 1E TOTAL 10/7/2026 $16.50 $17.25 $27,00 $3.75 $64.50 10/8/2026 $0.00 $17.25 $27.00 $3,75 $48.00 $U0 $0.00 $0,00 $0.00 $0.00 TOTAL 1 $11.2.50 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 any authorized to certify to said claim. Claimant Signature: Date: 0 TRAVEL VERIFICATION 0 0 1 0 0 0 1 0 TO BE COMMETED UPON RETURN ONLY 0 0 0 01, 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 Ohe allowance provided prior to travel was rightfully owed to me as a. 0 tGsult of this travel. I 0 0 10aimant Name: 0 JClaimant Signature: 0 IDate: 0 1 Departments shall maintain a copy of this form. The travel verification I 0 section must be completed, on the Department's copy, upon the 0 0 employee's return from travel. The department shall retain the fully I Ocompleted copy for six years or in accordance with the Washington StateO 0 Records Retention Schedule L�xS2011-184 Rev. 3). 1 .#ArAww.w.� "WW�MW�ffAMW AWW.WAMWffAWW1ffA0W.WAWWffAftWffA MILEAGE DATE FROM Ccn-y, s,r) TO (crry, s,i,) MILES RATE TOTAL 10/7/2026 Moses Lake, WA Boise, ID 362.00 $0.725 $262.45 10/8/2026 Boise, ID Moses Lake, WA 362.00 $0.725 $262,45 $0.725 $0.00 $0,725 $0.00 $0,725 $0.00 TOTAL 1 $524.90 *TOTAL REIMBURSEMENT CLAIM $637.40 *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; COUNTYAUDITOR 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: Date: Raquel Fike From: SpringHill Suites <shsboise@gmail.com> Sent: Wednesday, August 26,2026 835 AM To: Raquel Fike Subject: Grant County Washington - Decubber Reservation Attachments: Springhill Suites - CC Auth Form - English,pdf 62WN2PCRT BROOKE DECUBBER (10/07 - 10/0812026) credit card authorization form Let me know if you have any issues with the document or email. - Erica Warm Regards, Guest Services Springhill Suites by Marriott, Boise West / Eagle SPRIf1GHILL SUITES BY MAR4iol 1208) 9T191--82('36 shsboiseftrria- l.corn 63'.215 North Ctoverdate Rd, Boise ID, 83713, Discover Our hotel., EVrents Ojoerated ,irc!ei Uc, ense ftura'rOt nternaona Idnraze taKic or ofisffifi-_)tes 1 SPRinGHILL SUITES- MARRIOTT IN Payment Authorization Request, Please complete this payment authorization form to allow the third -party expenses outlined below to be charged to your credit/debit card. QjVk hir e LQ.Uen Marriott PLtvacZ err Guest Information Confirmation Number:62WN2PCRT Guest Name: Brooke Decubber Company Name: Grant County Phone Number: 509-765-9239 Relative Arrival Date: 10/7/2026 Address: PO Box 37 City, State, Zip: Ephrata, WA 98823 Relation to Cardholder: (if applicabie) Employee Departure Date: 10/8/2026 Friend Business Associate Other: Rate Information and Approved Charges., X All Charges Room & Tax Telephone (LD) Telephone (Local) Restaurant Room Service Valet/Laund ry. Parking HS Internet Access Movies Event/Catering/Banquet Charges Other: Currency type: Charges must not exceed Room Rate- Qor Requests'. eSignature.- Raquel Fike for the entire stay/event Taxes: Total Daily Rate: Number of Nights: I i Pay;,nf,lk-iziftitl*ifo-i-imat*ion-,4129570031096613 exp,.09/21" 0 Acceptance and Cardholder Phone Number: 509-765-9239 I authorize the hotel mentioned above to charge payment for all charges as indicated in the Rate Information and Approved Charges section of this form by processing a charge to the credit debit card listed above. I confirm that all guests listed above are age 18 or older / am the auto ofized signer for the paymont infomation attached. 08/26/2026 Cardholder Signature*,,. I Date. Training Travel Request renewGtouft aohqviwal FwWth 0 Welinein 0 in -State Training C2 Out -of State Training Webinar (Must be received 30 days in advance) (Must be received 90 days is advance) Employee Name:* Today's Date.-* Brooke L. Decubber 08/19/2026 --------------------- I k Employee Email* bdecubber@grantcountywa.gov Training Name:* Location:* Annual Rocky Mountain Laserfiche User Group Boise, Idaho Who will be registering you*?* 0 1 am already registered. OW I will register myself prior to event. 0 Finance department will register me. Copy and Paste Registration link here: https*.//porta1.laserfiche.com/gO594/forrris/RMLUGRegistration26 If no digital registration, scan and drop flyer here, Drag and drop up to 10 files here to upload or !-Ps Files (1 uploaded) Screenshot 2026-09-19 121445.rancr 7&80 Remove Registration Cost:* -------------------- - [$0 Will you be traveling for this training? (9 Yes 0 No Start of training 26 08:00 AM DO End of training, 120/08/2026 PM 4:35 NOW00- 1 0 sow Wow, Travel I nfo wo Departing Date: Returning Date: 1 10107/2026 1112:00 AM 0 26 t 10:00 PM G Hotel: * Are there any room blocks for this training at a specific hotel?* 0 Yes 0 No no, spoke with group and they are coordinating something, will let m�ekr Transportation: * * Personal Car 0 Company Car 0 Not Applicable (If requesting to take personal car, direct supervisor signature is required below) Airfare: 0 Yes 0 No How will this training add value to the organization?* Manager/Supervisor* Nicole Davidson �,.,.�..............� d,.r..�.�,.....�,� � ...............�...,,... ..,...... TO BE COMPLETED BY DIRECT SUPERVISOR Manager/Supervisor E-mail* nLdavidson@grantcountywa.gov Estimated Cost: Funding Source: E Training Approved: 00 Yes 0 No Direct Supervisor Signature: T"eld4e &_ Personal Car Approval:* @- Yes 0 No Direct Supervisor Signature: W11; V& 16� 1 0474)� Z_ a 001- Director to send to for approval: Anderson Executive Staff Approval: *Yes 0 No Date: 08/20/2026 Date: 08/20/2026 TO BE COMPLETED BY EXECUTIVE STAFF Executive Staff Signature: Date: 1 08/24/2026 bell4Js o. AIJ, WC - ---------- TO BE COMPLETED BY FINANCE DEPARTMENT Notes for Finance Department (To be Printed) Comments: Brooke, move forward with registration, I will move forward with lodging and per them allowance. RF 8/25/2026 101 Received I Denied WA ��RMLUG Logo,,,.250x25O,png The Details ,Ikw Registration 'I's NOW OPEN! 2.* Get ready! The Annual Rocky Mountain Laserfiche User Group is back. ? WHO: All Laserfiche users from the Rocky Mountain region - and bey ondt. (Note: This events exclusively for users - Solution Providers will not be attending) WHEN: Thursday, October 8, 2026 8:00 AM - 4:30 PM WHERE: State of Idaho Chinden Campus 11321 W Chinden Blvd, Boise, ID 83714 Building 2 - Coral Room 0 COST Absolutely FREE! This is a user4ed event created by Laserfiche users,, for Laserfiche users. Expect a full day of learning, networking, and hands-on experiences. Snacks? Covered. Lunch? TBD Speakers & Classes? TBD. Don't miss out on this incredible opportunity to connect, leam, and grow with the Laserfiche community. Submit the Registration Form Now'. 0 Directions * 1 stop - 5 hr 36 min A Moses Lake, WA B 11321 W Chinden Blvd, Garden City, Idaho 83714-1021, US CO Route settings Poute 1 5 hi 1" 36 min 362 m*i - V'11 e w D 111, r e c ti o n s Directions from Moses Lake, WA to 11321 W Chinden Blvd Leave now --/ 12:22 PM arrival via 1-84 11 Get step-by-step walking or driving directions from Moses Lake, WA to 11321 W Chinden Blvd, Garden City,, Idaho. Avoid traffic with optimized routes. Rm "U.M1. meals and incidental expenses (MME) rates and breakdowt' Primary destination County MME total Breakfast Lunch Dinner Incidental expenses First and lastday of travel Boise Ada $86 $22 $23 $36 $5 $64.50 U.S. General Services Administration FY 2026 per them rates for ZIP Code 83714 Primary destination County 20.25 Oct Nov Dec 2026 Jan Feb Mar Apr May Jun Jul Aug Sep Boise Ada $191 $167 $167 $167 $167 $167 $167 $167 $191 $191 $191 $191