APPENDIX A: VILLAGE OF SWANSEA TRAVEL, MEAL AND LODGING EXPENSE REIMBURSEMENT REQUEST FORM
In accordance with Public Act 99-0604, known as the “Local Government Travel Expense Control Act", and Village Ordinance No.___, before an expense for travel, meals, or lodging can be paid or reimbursed, the following minimum documentation must first be submitted in writing to the corporate authorities of the Village, who shall approve or disapprove such request.
Details of Public Business event, conference, workshop, training or program:
Name:                                                                                                                               
Description/Purpose:                                                                                                        
Please attach supporting documentation describing the nature of the official business event or program.
Location:                                                                                                                          
Date(s):                                                                                                                             
Name of Attendee:                                                                                                           
Job Title/Office:                                                                                                               
Estimated/Actual Costs
1.    If seeking pre-approval, please provide an estimate of all associated costs for travel, meals, or lodging. Attach documentation that supports your estimate.
2.   If expenses have already been incurred and you are seeking reimbursement, please provide an accounting of all associated costs for travel, meals, or lodging and attach receipts for all expenses.
Provide any other documentation that might assist the corporate authorities in considering your request for pre-approval or reimbursement. In the discretion of the corporate authorities, additional documentation relevant to the request for reimbursement may be required prior to action by the corporate authorities with respect to the reimbursement request.
                                                                                                                  
Requester Signature                      Date
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Approved by the Board of Trustees this             day of                                  , 20    
                                                                                                                      
Signature                              Date