#128 Revised
              EAST AMWELL TOWNSHIP SCHOOL
Professional Day Travel Report and Reimbursement Request

• A travel report is required for all professional days (except regular district
business) within 10 business days of date of absence.
Name:_______________________________________________ Date:______________
Meeting/Convention Attended:______________________________________________
Location:______________________________________ Dates Attended:____________
Describe what you learned from this workshop and how you will incorporate it into your
job responsibilities:
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
(please attach pages if additional room is needed)
REQUEST FOR REIMBURSEMENT (IF APPLICABLE):
Registration Fee payable to:___________________________ $_____________
Round trip mileage_______ @ current IRS Rate________ $_____________
Tolls/Taxi/Parking $_____________
Per Diem for meals (overnight travel) only at federal guidelines $_____________
Total $_____________
Lodging is not reimbursed
Employee Signature:____________________

Approved:______________________________

Date: ____________________

Superintendent______________________________

Principal______________________________