2:125-E2 Board Member Estimated Expense Approval Form

Submit to the Superintendent, who will include this request in the monthly list of bills presented to the School Board. Use of this form is required by 2:125-E3, Resolution to Regulate Expense Reimbursements. Please print.

Name:                                                              

Title/Office:                                        

Travel Destination:                                         

Purpose:                                              

Departure Date:                                              

Return Date:                                       

  Estimated Expenses Approval Requested (50 ILCS 150/20)

  Purchase Order Requested              Purchase Order #:                               

  Expense Advancement Voucher Requested (105 ILCS 5/10-22.32)

Voucher Amount:                               

Submitting Board Member’s Signature :_____________________________________

Date:  ___________________

Superintendent Signature:____________________________________

Date:  _________________

School Board Action (circle one):  

          Approved                       Denied

         Approved in Part          Exceeds Maximum Allowable Amount

Date Adopted:  December 20, 2016