HomeMy WebLinkAboutOut of State Travel Request - Public Works�Out of State Travel Approval Req"6est
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USER INSTRUCTION.$
Form Purpose: Use this form to submit out of state travel request for approval.
How to Complete this Form: Fill out this form on-line and then print it. Alter print this form and complete it by hand.
How to Submit this Form: Submit a hard copy of this form.
Where to Send this Form: Send completed form to your department head/elected official and then to the Board of County Commissioners.
Attach signed copy with all AP batches that include any travel charges.
Deadline: This form must be received and approved in advance of incurring the requested expenditure(s).
Additional Information: Out of state travel must be preapproved by the Board of County Commissioners before incurring cost.
Request should include detailed information on air travel, hotel, car rental and funding source. Including attaching the "Airline Comparison Tool".
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tMPLOYE'EINFORMATION
Name: Bryan Hurst Date: 2/8/22
FUNDING: (Grants, s,
_pecific funds)
Funding Source: (W(1_� U I
TRAVEL DETAILS:
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Destination: Seaside Oregon Date(s): 4/26/22-4/28/22
Purpose of travel/how does this contribute to the achievement of the County and your
department?,ieV�"VVI���
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PROJE T D E PENDITUR.
AMOUNT
Registration $250.00 by 2/26
Lodging $220.00
Ai rfa re $
Car Rental $
Personal Vehicle Mileage: $
Meals Breakfast and Lunch provided on 4/27 $134.50
Other (please specify) $
*If cost exceeds total amount approved, additional Total Request for out of state travel $604.5
approval from BOCC is required*
Elected Official, Department head., or Designee signature: J'Aw, // Date:
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Print or type name: b I
Commissioner:
lCommissioner'
Chairman BOCC... . ...
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