Non-Public Travel Expense Reimbursement Request
For use by Non-Public school officials only

Modify or Display?
Would you like to:
- Edit an existing Non-Public Travel Expense Request?
- Display a read-only copy of a Non-Public Travel Expense Request?
* - Fields marked with a red asterisk are required

Original receipts and cover sheet MUST be sent to your Primary Cost Center Manager within 45 days of travel in order to receive payment! If original receipts are not sent, the district will not pay for your expenses.

Request Information
Employee Information
* Employee Name:
* Employee Vendor Number:
* Employee Home Address:
* Employee Phone Number:
* Employee Email:

Requester Information
* Requested By:
* School Building Name:
* School Contact Name:
* School Contact Email:
School Phone Number:
Travel Information
Travel Information:
* Reason For Travel and
   How it will benefit the district:

Event InformationHotel Information
* Conference Name: Hotel Name:
* Destination State: Address:
* Destination City: Phone:
* Location: Fax:
* From Date: * Arrival Date:
* Through Date: * Return Date:

* Funding Stream:
Services & Estimated Expenses
* Services:

Estimated ExpensesActual ExpensesPrepaid Expenses
Parking & Tolls:
Per Diem:
Tips & Other:
Total Expenses:
Actual Expenses
To edit actuals data, click on any row.
To save data, hit the [Enter] key, or click on another row.
To exit a row without saving data, hit the [Esc] key.

Reimbursement Summary
Reimbursement Summary
A/P Adjustments:
Due to Employee: