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Cleveland City School District
Travel Absence Request Form
10/18/2019
Name: *
Current Date: *
Title of Event: *
Location of Event: *
Date(s) of Event: *
How does this request relate to your District-School Improvement Plan?: *
Registration Fee: *
Travel Costs: *
Lodging Costs: *
Meals (Per Diem): *
GSA Per Diem Calculator
Substitute Teacher: *

Full Day Sub = $80.74 ½ Day Sub = $40.37

Total Projected Expenses: *
How are expenses to be paid?:

I understand that all reimbursement requests for expenses incurred during this approved travel event must be submitted within five business days of my return to work.

*
I Agree  
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