Request/Accounting for Nonlocal Travel Funds

MCPS Form 281-1 September 2021

Request/Accounting for Nonlocal Travel Funds

CLEAR FORM

Division of Controller MONTGOMERY COUNTY PUBLIC SCHOOLS
Rockville, Maryland 20850

INSTRUCTIONS: Authorization of Travel/Funds—At least 60 days prior to travel, this form must be approved by both the principal/director and the associate superintendent. Travel credit card will not be issued more than 60 days before the trip. No credit card will be issued if estimate of expenses total less than $100 or if there are prior travel advances outstanding. Retain a copy of the approved form for use in final settlement of travel expenses.
Accounting for Travel Expenses—Use the approved copy of authorization of travel funds to account for travel expenses within 10 business days after completion of trip. If the travel credit card is needed, the employee will be notified when travel credit card is ready to pick up in Controller’s office. File the expense report in the Hub Expense module with authorization of travel funds, original receipts, and online reviewed credit card statement if travel credit card is issued.
Reference: Regulation DIE-RA: Travel for Montgomery County Public Schools (MCPS) Purposes.
Please use Form 281-1A for Nonlocal Travel for MCCAP travel.

Name__________________________________________________________________________________________   Employee Number __ __ __ __ __ __

Job Title__________________________________________________________________________________________________________________________ (If teacher, indicate subject/grade and coverage required.)

Dates of Leave _____/_____/_____ through _____/_____/_____  Days of Official Business _____/_____/_____ through _____/_____/_____ Number of Days Requested _____  q Professional  q Annual  

Place of Travel______________________________________________   Purpose of Travel______________________________________________________

Estimated Travel Expenses $___________  Advance Requested $___________  Lodging (per day) $___________
Mode of Travel: q  Common Carrier  q  Privately Owned Vehicle q  For benefit of MCPS—Attach justification if destination is more than 150 miles q  For benefit of employee—Reimbursement limited to cost of airfare; lodging and subsistence limited to that incurred if travel were by scheduled airline.

_________________________________________________ _________________________________________________  _____/_____/_____

Signature, Employee/Traveler

School/Department

Date

PART II: REVIEW AND AUTHORIZATION—To be completed by Principal/Director

Substitute Day(s) Needed______________ Account #: (Travel) __ __.__ __ __ __ __.__ __ __ __ __.__ __ __.__ __.__ __ __ __ __ __. __ __ __ __ __ __. 0000.0000.00
Max. Funds Allowable $___________ Account #: (Registration) __ __.__ __ __ __ __.__ __ __ __ __.__ __ __.__ __.__ __ __ __ __ __. __ __ __ __ __ __. 0000.0000.00

______________________________________________ _____/_____/_____ ______________________________________________  _____/_____/_____

Signature, Principal/Director

Date

Signature, Associate Superintendent/Chief

Date

PART III: ACCOUNTING FOR TRAVEL EXPENSES—To be completed by employee/traveler

Please complete “Estimated” column with initial request; “Actual” column within 10 business days after completion of trip. Write “prepaid” by any item that was separately paid directly by MCPS via travel credit card or payment memo.

Expenses

Estimated

Actual

Accounting

Lodging (Attach original receipts)

$____________ $____________ ____________

Subsistence: (Attach original receipts)

$____________ $____________ ____________

Common Carrier (Attach original receipts)

$____________ $____________ ____________

Ground Travel (e.g., taxi, airport limousine, parking)

$____________ $____________ ____________

Privately Owned Vehicle: _____ miles @ $_____ per mile

$____________ $____________ ____________

Registration (Attach receipted bill.)

$____________ $____________ ____________

Other (Attach explanation and receipted bill(s))

$____________
Total Reimbursable Expenses $_______0__.0_0__
Prepaid via MCPS Travel Credit card

$____________
$________0_.0__0_
$____________

____________ ____________ ____________

Paid directly by Payment Memo $____________ ____________

Check #_________ (Attach check) $____________
Due Employee $________0_.0__0_

____________ ____________

I certify the above expense statement to be accurate and complete

______________________________________________ _____/_____/_____

Signature, Employee/Traveler (after travel)

Date

Instructions for Employee: Please submit the form through the Business Hub Expense module for actual reimbursement. Export #________________