DC(EXHIBIT) - EMPLOYMENT PRACTICES

TRAVEL AUTHORIZATION AND PAYMENT/REIMBURSEMENT VOUCHER

TRAVEL INFORMATION

Name:
Address:
Phone number:
E-mail:
Social security number*:
Position applied for:

REIMBURSEMENT INFORMATION

Receipts Required on Return		Expenses to be Reimbursed
Airfare:		$
Lodging:		$
Other Travel:		$
	Total	$

Note: Staple receipts for full reimbursement.

*This information will be necessary for reimbursement purposes in accordance with Procurement guidelines.

Return complete forms to: Houston ISD, 4400 W. 18th St., Houston, TX 77092

Human Resources Attention: Alicia Lugo

Houston ISD

DC(EXHIBIT)-X

LDU 2012.10

DATE ISSUED: 10/26/2012