Travel Authorization & Expense Reporting Form
Instructions: Prior fQ fil!.ll travel, complete Part I of this form to have travel and anticipated expenses approved. Submit a copy of this approved form with each payment expense submitted. Upon returning from travel, complete Part II of this form to confirm total expenses including any approved adjustments.
Submit form to Accounts Payable within 15 days of the travel end date. Always use the most up-to-date Travel Form located on the City's Intranet Part I - Travel Authorization
X
Name: Erlan Gonzalez
Job Title: Mayor Pro Tern
Division: City Council
EmoloveP...Rfnilature Immediate Supervisor Signature
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Pur6,t{ot Trip: SCAG - 2026 Regional Conference & General Assembly Destination: Palm Desert, CA
Enter below the departing date and time then the return date and time. automatically be calculated.
OutoCtate?
Per diem travel days will
GL Org Set(s) % Split Departure 517126 8:00 AM Example:
1--1_0 _1 _0_-1_0_ - _0 _1-_1_0_0_1 _3-1-_1_0_0....;.o/c..:...0 ---1 Split Total Equals I--_D_a_t_e _&_T_im_ e_:_+------------------+-11:_'2_i1_B_7_:3_0_A_M -I
100%
Expense Type Account#
Registration: (620510)
Lodging : (620510)
Mileage: (620510)
Airfare: (620510)
*Per Diem:
Return
Date & Time: 5/8/26 11 : 15 AM
Description of Expenses
2026 Regional Conference & General Assembly
JW Marriott Desert Springs Resort & Spa
Miles: 21 X Rate: $0.725
Amount
$15.23
Example:
1/2/18 5:30 PM
CAL-Card?
S,lfYes
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(620510) Palm Desert, CA $8 6 Check box to decline Per I--------------------L------------------1------lr Diem, whereby actual Total Travel Days (Enter# of Days)»> 2 receipts must be submitted X
X
*To receive per diem, travel must include an overnight stay. Total Per Diem:Per diem on first and last day are to be calculated at 75% of daily per diem rate.
Misc. Other: (620510)
Business Meals: (620510)
Division Manager Approval
X
Date
/ 77 :\ / / /
Total Anticipated Expenses:
City Manager Approval (as required)
$96.75
$111.45
Date
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Part �efase Reporting (Please check the appropriate box below and provide details) O No adjustments are necessary. Anticipated expenses match actual expenses incurred. 0 Advance payments exceeded the actual expenses incurred. Attached is my receipt as evidence of) reimbursement to the City. (Explain below, use negative numbers r
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0 Actual ex penses exceeded the anticipated original request. Additional funds are required as listed below.
Expense Details Expenditure Code Amount CAL-Card?
JW Marriott Desert Springs Hotel Reimbursement 1010-10-01-10013-620510 $353.41 r ,r .__ ___________________ ,::__
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�-· ----- - - - - - - - - - - - - - - - I� - - - - - - � - - • Post-Trip Employee
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1010-10-01-10013 $465.39 I certify that this document is I GL Org Seta true and accurate record of Signature: X I Split Totals:travel expenses for official 1---------,-E- x
_
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_. v_.,,_ _____
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1-----------+-----------I
City business. Date:
1---.....:.;_"--C..;;.c..:....:.C..:.c__..1.-______ ......L. _________ - - - - - - - - - - - - - - -I� - - - - - - - - - • Division Manager Approval
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On he/2alf+o7Flw (;liq(!/�· I
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5/19/2026
Date
I
Final Total Expenses: $465.39
City Manager Approval (as required) Date
X
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