COLLEGE
OF THE
REDWOODS
Automobile Use
Permission Form
Name
Birthdate
Driver's License Expiration Date Year and Make of Auto
Vehicle License No.
Insurance Carrier/Agent
Phone
Liability Limits
Policy No.
Expiration Date
Driving Restrictions
I certify the above information is correct, current and the insurance coverage is in force. I understand I must advise the District, in writing, of any changes to the above information. I further certify that the above vehicle is mechanically safe. ***Auto travel claims will not be processed unless a valid form is on file.
Owner of Vehicle
Vehicle Signature
Date
Driver Signature
Date
Note: If you drive your personal automobile while on District business and you are involved in an accident, by law your liability insurance policy is used first. The District liability policy would be used only after your policy limits have been exceeded. The District does not cover, nor is it responsible for, comprehensive collision coverage to your vehicle.
To be completed by Cost Center
I hereby approve use of personal auto for college‐related business for the fiscal year _______________
APPROVED:
Cost Center Manager
Date
Senior Staff
Date
Public Folders/Procedures
Rev.05/10
REDWOODS COMMUNITY COLLEGE DISTRICT
Request for Goods or Services
Purchase Order Requisition
Basic Skills Funding
Documentation
Cal Card Purchase
Prepaid?
✔
Cal Card
Requisition #:
Blanket Order?
Confirming:
Phone?
Fax?
Received?
N/A
P.O. #:
(formerly Open PO)
SECTION 1: Requestor Information
Requested By:
Date:
Dept/Class/Unit/Purpose:
Needed By:
SECTION 2: Suggested Vendor - Please provide the vendor number or name and other available particulars
Vendor Number:
Vendor Name:
Contact Person:
Mailing Address:
City, State, and Zip Code:
E-Mail Address:
Internet Address:
Phone:
Fax:
SECTION 3: Items Requested (attach list, if more than 9 items)
Item #
Vendor Part #
Item Description
Quantity
Units
Unit Cost
Total Cost
1
2
3
4
5
6
7
8
9
Sales Tax:
Shipping:
Total Order:
SECTION 4: Justification and Suggested Funding Source
Dept. Budget
Other (specify budget):
(Include blurb from proposal)
SECTION 5: Budget Acct Distribution
Subfund
CCtr
Prog
Actv
Object
Item #
% or Amount
Comments
(Crislyn will complete this section
SECTION 6: Cost Center Manager Approval
Signature:
Date:
(Erin Wall)
Revised Fall 2013
REDWOODS COMMUNITY COLLEGE DISTRICT
Request for Goods or Services
Purchase Order Requisition
Prepaid?
Basic Skills Funding
Documentation
Datatel
✔
Cal Card
Requisition #:
Blanket Order?
Confirming:
Phone?
Fax?
Received?
N/A
P.O. #:
(formerly Open PO)
SECTION 1: Requestor Information
Requested By:
Date:
Dept/Class/Unit/Purpose:
Needed By:
SECTION 2: Suggested Vendor - Please provide the vendor number or name and other available particulars
Vendor Number:
Vendor Name:
Contact Person:
Mailing Address:
City, State, and Zip Code:
E-Mail Address:
Internet Address:
Phone:
Fax:
SECTION 3: Items Requested (attach list, if more than 9 items)
Item #
Vendor Part #
Item Description
Quantity
Units
Unit Cost
Total Cost
1
2
3
4
5
6
7
8
9
Sales Tax:
Shipping:
Total Order:
SECTION 4: Justification and Suggested Funding Source
Dept. Budget
Other (specify budget):
(Include blurb from proposal)
SECTION 5: Budget Acct Distribution
Subfund
CCtr
Prog
Actv
Object
Item #
% or Amount
Comments
(Crislyn will complete this section
SECTION 6: Cost Center Manager Approval
Signature:
Date:
(Erin Wall's Signature)
Revised Fall 2013
Basic Skills Funding for:
Travel and Advance Request
Voucher No.
Name ___________________________________
Vendor No.
COLLEGE
OF THE
REDWOODS
Signature ________________________________
Date
***Attach copies of conference schedules, itineraries, and/or meeting schedules.
Departure
TRAVEL PERMISSION REQUEST
_____________
Date: _____________
q
p
g
g
I request permission to attend the following meeting:
Time: _____________
Name of Organization
____ a.m.
____ p.m.
Return
Location of Meeting
Date: _____________
Purpose of Meeting
Date(s) of Meeting
Time: _____________
____ a.m.
____ p.m.
APPROVED *
___ Rental Vehicle Requested* ___ Gas Card Requested ___ Airline Ticket Requested
Date: _____________
*Auto Use Permission Form must be on file.
No. of Passengers _______
ESTIMATED TOTAL COST OF TRIP: $ ___________________
Cost Center Manager:
Names of Passengers: ___________________________________________________________
________________
Senior Staff:
________________
ADVANCE REQUEST
President:
AMOUNT REQUESTED:
(out‐of‐state travel only)
________________
$ _______________________
NOTE: Advance will be drawn only after a Travel Request is approved and forwarded to the Business Office. Please allow 10 days processing time for check. A Travel Expense Request form, with original receipts attached, must be completed within 14 days of your return.
* Travel outside of the country requires Board approval prior to travel
Erin Wall
initials:
__________ __________ __________ __________ __________ Subfund CCTR PROG ACTV Object
Public Folders/Procedures
Rev.07/10
Voucher #:
Travel Expense Request
Basic Skills Approval Travel
COLLEGE
OF THE
REDWOODS
V#:
Submitted by:
Date:
Location and Purpose:
NOTE: This form must be received in Business Services within 14 days following the trip date.
Departure
Original receipts must accompany all items listed
Date:
Air travel .........................................................................
$
$
Car rental .......................................................................
$
$
Conference/Registration fee ..........................................
$
$
a.m.
Lodging cost: $
days = ....
$
$
p.m.
Parking, bridge and/or ferry tolls ....................................
$
$
Private car:
$
$
Taxi and/or bus fare .......................................................
$
$
Meals (receipts not required — see below*) ...................
$
$
Other: .............................................................................
$
$
TOTAL TRIP COSTS:
$
$
Less advance
$
Total to be reimbursed to Employee/District
$
Time:
per day x
per mile x
Reimbursable
Expenses
miles = .................
Prepaid
Expenses
(Authorization for Use of Personal Auto form must be on file)
Return
Date:
Time:
a.m.
p.m.
*MEAL ALLOWANCE NOT TO EXCEED $36 PER DAY
# meals
Less meals
at provided
conference
Total # meals
to be
reimbursed
*Meal allowances on the
initial day of travel are
payable if it was necessary
to leave the work site or
residence on or before the
following times:
Breakfast:
Lunch:
Dinner:
Breakfast(s)
—
=
@ $ 8.00 ea. $
Lunch(es)
—
=
@ $ 10.00 ea. $
Dinner(s)
—
=
@ $ 18.00 ea. $
TOTAL MEAL ALLOWANCE
7:00 a.m.
11:00 a.m.
5:00 p.m.
APPROVED:
*Meal allowances on the day of
return are payable if the return
to the work site or residence,
exclusive of eating time, was on
or after the following times:
Breakfast:
Lunch:
Dinner:
9:00 a.m.
1:00 p.m.
7:00 p.m.
Date:
Division or Supervisor:
$
Senior Staff:
Reduce meal allowance as noted above.
(Crislyn will complete:)
SUB FUND
White: Business Services
Canary: Business Services
CCTR
Pink: Employee
PROG
ACTV
OBJECT
p65
Rev. 7/12/01