Workshop, Conference, and Meeting Authorization Form
CHAPTER 7: Administrative
COMPUTER ID: AMOM-9
Title: Workshop, Conference, and Meeting Authorization Form
Effective Date: 1984
Authorized By: Library Director
Date of Last Revision: 3-2016
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MARATHON COUNTY PUBLIC LIBRARY
WORKSHOP, CONFERENCE AND MEETING AUTHORIZATIONS FORM
This form must be completed if any of the following hold true:
1. You will attend on work time.
2. You will want mileage reimbursement.
3. You will want reimbursement for expenses.
If plans change and you do not attend the approved workshop/conference/meeting, you must notify Heather (#7214).
A) Meeting/workshop/class title___________________________________________________
B) Date(s) ____________________________________________________________________
C) Work hours required for attendance______________________________________________
D) Actual workshop hours (not including lunch or travel time).___________________________
E) Cost: Registration $________________
Meals: Breakfast-Maximum of $8.00 $________________
Lunch -Maximum of $10.00 $________________
Dinner -Maximum of $15.00 $________________
F) Estimated miles______________ Estimated mileage cost or flat rate $_________________
G) How much (in dollars) would you be willing to contribute to attend? _____________________
H) Please make sure Administration is aware of any payments that need to be made.
I) How does this meeting/workshop/class apply to your job? (explain on back of this sheet)
J) Attach a copy of the agenda or description of workshop.
Employee Signature Date Manager's Signature Date
Note: 1) A brief written report may be turned into the Admin. Office within 14 days of meeting date.
2) Receipts must be attached to reimbursement statement within 14 days for payment.
Cost reimbursement authorized__________________________________________________________________________
Mileage reimbursement authorized_______________________________________________________________________
Library Director Date
- Marathon County Public Library
300 North First Street Wausau WI 54403 USA
Account Status: 715-261-7209 (24/7)