This form has been updated for the State Revised Reimbursement Rates. It will force you to make a copy. Please be sure to read the updated directions.
This form can be used to obtain reimbursement for mileage, parking, meals (for overnight stays), and hotel; meals are reimbursed with receipts but do not exceed the per diem state rates (shown below). Meals will be reimbursed based on the receipt price, UP TO PER DIEM RATE.
If you have ANY questions, please stop by or call Angela Jackson for assistance.
Breakfast (actual cost, up to) $11.10 $11.10
Lunch (actual cost, up to) $13.30 $13.30
Dinner (actual cost, up to) $23.10 $26.30