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Form Instructions
School District of Desoto
Travel Reimbursement - Out of District (January 1, 2025 and Beyond)
3/21/2025
Name:
Job Loc:
Purpose:
Date
From
To
Mileage
Date
From
To
Mileage
Date
From
To
Mileage
Departure Time:
01 AM
02 AM
03 AM
04 AM
05 AM
06 AM
07 AM
08 AM
09 AM
10 AM
11 AM
12 PM
01 PM
02 PM
03 PM
04 PM
05 PM
06 PM
07 PM
08 PM
09 PM
10 PM
11 PM
12 AM
00
01
02
03
04
05
06
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08
09
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12
13
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46
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48
49
50
51
52
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58
59
Return Time:
01 AM
02 AM
03 AM
04 AM
05 AM
06 AM
07 AM
08 AM
09 AM
10 AM
11 AM
12 PM
01 PM
02 PM
03 PM
04 PM
05 PM
06 PM
07 PM
08 PM
09 PM
10 PM
11 PM
12 AM
00
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
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34
35
36
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38
39
40
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42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
Vicinity Miles:
Section "A" - Mileage Expense
Total Miles:
@ $0.68 per mile = $:
Note: Please complete Section "B" or "C", but not both.
Section "B" - Itemized Expenses
Registration Fee:
Meals:
BKF $14; LUN $17; DIN $26
Hotel:
Tolls/Parking:
Air fare:
Other:
Amount
Description
Total Itemized Expenses = $:
Section "C" - Quarterly Expenses
Number of Quarters:
@ $20.00 per quarter = $:
Grand Total
Total amount to be reimbursed $:
Account Coding
Fund
Type
Function
Object
Facility
Project
Subproject
Program
Percent
Fund
Type
Function
Object
Facility
Project
Subproject
Program
Percent
Fund
Type
Function
Object
Facility
Project
Subproject
Program
Percent
Employee Signature: ______________________________________________ Date: _______________
Complete the information below to route your form
Show Instructions
Please route this form to the following personnel: 1. Routing level 1 (e.g. Department Head) 2. etc.
Your Name:
*
Your E-mail:
*
Confirm E-mail:
*
Your Routing Level:
General
Secretary/Bookkeepers
School / Department Administration
(Please refer to routing instructions)
Send to Approver:
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No approver has been assigned to this form, please contact your District Forms Manager.
Verification Code:
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