EMPLOYEE PER DIEM RECORD
* = Required
From Date:
*
To Date:
*
Supervisor:
*
==========================================================================
Amount Deducted From ATM:
*
Date Deducted From ATM:
*
City and State:
*
==========================================================================
Each employee gets $20.00/per day meal allowance.
Employee
Date
Amount
If additional per diem is used for other misc items, list below and provide receipts.
Miscellaneous Items:
Amount Remaining:
*
Submit Per Diem Record