SANTA CLARITA COMMUNITY COLLEGE DISTRICT
REQUEST FOR REIMBURSEMENT-MILEAGE AND EXPENSE
Email Address:
Requestor's Name:  COC Extension: 
Name of Conference/Meeting: 
Date (s) Of Conference/Meeting: 
City: State:
The Board of Trustees of Santa Clarita Community College District at it's regular meeting on: directed the attendance and authorized (advance) payment of necessary and actual expenses, in compliance with board rules, to the above-named requestor.
The Board of Trustee of Santa Clarita Community College 
Moved by:

Seconded:

(Board of Trustee Member) (Board of Trustee Member)
Mileage:  X 48.5 cents per mile =  $
(# of Miles) (Mileage rate)
* Air, train, or bus fare: - =  $
(Amount) (Less Advances)
* Parking  $
*Registration: - =  $
(Amount) (Less Advances)
* Lodging - =  $
(Amount) (Less Advances)
Meals: (In Dollars) + + =  $
(Date) (Breakfast) (Lunch) (Dinner)
+ + =  $
(Date) (Breakfast) (Lunch) (Dinner)
+ + =  $
(Date) (Breakfast) (Lunch) (Dinner)
+ + =  $
(Date) (Breakfast) (Lunch) (Dinner)
Other: + + =  $
(Official telephone calls) Breakfast) (Lunch) (Dinner)
I Certify that the above expenditures were made by me and hereby request a total reimbursement of: $
 
Amount: From (Budget #):

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College of the Canyons

Valencia campus:

(661) 259-7800

• 26455 Rockwell Canyon Road, Santa Clarita, CA 91355

Canyon Country campus:

(661) 362-3800

• 17200 Sierra Highway, Santa Clarita, CA 91351


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