05.60E2 Employee Estimated Expense Approval Form
Submit to the Superintendent. Use of this form is required by 2:125-E3, Resolution to Regulate Expense Reimbursements and (2) for pre-approval of expenses to be charged to a federal grant or State grant governed by the Grant Accountability and Transparency Act. Please print.
Name: Title/Office:
Travel Destination: Purpose:
☐ Estimated Expenses Approval Requested (50 ILCS 150/20 or grant expenditure)
☐ Travel is grant-related* (specify grant): __________________________________________
☐ Purchase Order Requested Purchase Order #:
☐ Expense Advancement Voucher Requested (105 ILCS 5/10-22.32)
Voucher Amount:
Estimated Expense Report Departure date: Return date: | ||||||||||
Auto Travel Allowance: per mile *Grant-related travel only: Except for mileage and other transportation expenses, expense reimbursement/per diem is only allowed if an official travel status for 12 hours or more. If lodging at or below the applicable rate cannot be identified, please indicate below and attach at least three quotes for review. | ||||||||||
Date | Auto Mileage Miles Cost | Travel Expenses | Lodging | Meals or Per Diem Bkfst Lunch Dinner | Other Item Cost | Daily Total | ||||
Total | $ |
Superintendent ☐ Approved ☐ Denied
(below maximum allowable amount): ☐ Approved in Part
☐ Grant Funding Source (if applicable): ______________________
Superintendent Signature Date
Comment: _______________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
School Board Action ☐ Approved ☐ Denied
(exceeds maximum allowable amount): ☐ Approved in Part
☐ Grant Funding Source (if applicable): ______________________
Employee Signature Date
UPDATED: May 20, 2020