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LCA TRAVEL VOUCHER
Name:_____________________________ Position
Served:_____________________
Address:_________________________City, State &
ZIP_________________
Telephone: (W) _________________________ (H)
__________________________
REIMBURSEMENT
INFORMATION: The Louisiana Counseling Association will
provide authorized travel, housing, and per diem for LCA
Officers, Committee Chairs, Committee Members, and other
persons who may from time to time be authorized for reimbursed
travel by the LCA President.
Allowances for
authorized in-state
travel:
Mileage: $.30 per mile
Meals: Limited to $21.00 per day distributed as
follows:
$5.00
Breakfast, if departure is before 6:00 a.m. and return is
after 10:00 a.m.
$6.00 Lunch, if departure is before 10:00 a.m. and return is
after 3:00 p.m.
$10.00 Dinner if departure is before 3:00p.m. and return is
after 7:30 p.m.
*** In the event that
meals are provided in the course of the official travel, or
event, reimbursement may not be claimed for that particular
meal, regardless of whether the individual partakes or not.
Lodging: Rooms will be reimbursed at the LCA sponsored
events (for travel over 100 miles one way) at a double
occupancy rate. Exceptions to the rooming policy may be made
at the discretion of the LCA President or designee. Room
expenditures will be based on the prevailing state rates for
single occupancy in the area.
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Reason for
reimbursement_________________________________________
Is
the voucher related to convention? _________NO _______ YES
TRANSPORTATION ($.30 per mile)
Date:
_________From: ___________________
To:__________________________
Means: (Circle) Auto Bus
Train Air
Mileage: _______ miles @
$.30 per
mile Amount: _______
MEALS
Date: _________ Departure _______ Return
______ Amount _______
Date: _________ Departure _______
Return ______ Amount _______
Date: _________
Departure________Return ______ Amount_______
LODGING
Date: _________Location __________Rate
_______ Amount_______
Date: _________Location__________
Rate _______ Amount_______
Date:
_________Location__________ Rate _______ Amount_______
MISCELLANEOUS (Attach
receipts)
Date: _________Description:
__________________ Amount_______
Date:
_________Description:
_________________ Amount_______
TOTALREIMBURSEMENT___________
SIGNATURE:____________________________Date:_________________________
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For Office Use Only
Check
#________ Voucher
#_______ Category
#_______
Date Pd. ____________
Approved by:
________________________________Position Served___________
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