Employee Travel Responsibility Statement

                Hotel/Motel Expenses

      According to district guidelines, double occupancy of rooms should be utilized whenever possible and/or feasible (i.e. two individuals of the same sex traveling to the same destination)      in the interest of conserving District funds.

      I understand that if I choose to stay in my own private room, I will be responsible for any and all additional costs over and above the reimbursement rate set by the district ($115.00 per day).                   

      I also understand that if the daily rate cost of my room, (even with double occupancy), exceeds the limits shown above; I will be responsible for that expense.

 ________  Meals

      I understand that I am responsible for any and all costs over and above the meal allowance reimbursement set by the district $36 per day local, state and federal.

 ________  Mileage

      I understand that I am responsible for any and all costs over and above the mileage allowance reimbursement set by the district at 55.5¢ effective July 1, 2011 and 51¢ per mile prior to July 1, 2011 for local, state and federal.

      I also understand that mileage to various Texas locations has already been calculated and if my travel is to a place other than those listed, reimbursement will be determined by the PISD Business Office.

 I AM RESPONSIBLE FOR ALL COSTS OVER AND ABOVE THE REIMBURSEMENT RATES SHOWN ABOVE FOR STATE, FEDERAL AND LOCAL DISTRICT ALLOWANCES AND AM NOT EXPECTING TO BE REIMBURSED FOR THESE COSTS.  

 ______________________________                    _________________________

      Signature of Employee                                        Date

________ I ACKNOWLEDGE THAT THE DISTRICT WILL ONLY BE RESPONSIBLE TO PAY AN AGREED AMOUNT OF $______________.  I UNDERSTAND THAT I WILL BE RESPONSIBLE FOR ANY COSTS OVER AND ABOVE THIS AMOUNT. 

 ______________________________                    _________________________

      Signature of Employee                                        Date