HomeMy WebLinkAboutOut of State Travel Request - New Hope DV/SAOut of State Travel Approval Request
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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".
NFORMATION / /.,.
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Name: Abraham Tapia Date: 9/5/2023
FUNDINGS Grants �s ecific funds
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Funding source: Crime Victims 128.170.00.8049.565504300
TRAVEL D E AhL mom
Destination: Keystone Colorado Date(s): 10/2/2023-10/4/2023
Purpose of travel/how does this contribute to the achievement of the County and your
department?
Abraham is the primary crime victims advocate for our agency and this is for an annual crime
victims conference. This will fulfill his training requirements for the grant year.
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AMOUNT
Registration
$ 625.00
Lodging
$ 529.63
Airfare
0
$ 565.32
Car Rental
SEP 2 1023
$ 220.00
Personal Vehicle Mileage:r flkTQk IP MT
$ 236.60
$316
Meals
Other (please specify)
$
*If cost exceeds total amount approved, additional Total Request for out of state travel
from BOCC is
$ 2492.55
approval required*
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Elected Official De artment head or Desi nee si nature: �GG e �r9�G1 Date: 9/5/2023
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Print or type name: Suzi Fodei Department Head{
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Commissioner:
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Chairman BO \C t 77- Date: 9/ /2023
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