HomeMy WebLinkAboutOut of State Travel Request - Public Works3�'. {� ° Out of State Travel Approval Request
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Form Pun2M: Use this form to submit out of state travel request for approval.
Now to Co fete this Form; Fill out this form on-line and then print it. Alter print this form and complete it by hand.
Nowt Subunit this Form: Submit a ha rd copy of this form.
Where jQ fiend this Eo :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).
Additigngi 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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Name: Dard Alamos Date:
FUNDING: Grants -0' c'c1fic-1runds):,-_,
Funding Source: BH
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Destination: Atlanta, GA Date(s): 4/17-21/2022
Purpose of travel/how does this contribute to the achievement of the County and your
department?
RX Drug Abuse and Heroin Summit
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AMOUNT
1$825.00
Registration
Lodging
$789.00
Airfare
$631.96
Car Rental
$0
Personal Vehicle Mileage:
$122-85
Meals
$333.00
Other (please specify) Parking & Baggage fees
$120.00
*If cost exceeds total amount approved, additional Total 11equest for out of state travel
approval from BOCC Is
$2821.81
required
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Elected Official, Department head, or Designee signature:j Date
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Print or type nam Andso
Commissioner:
Commissioner V
Chairman BOCC
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