VOUCHERING FOR EXPENSES HOTEL EXPENSES AIRFARE GROUND TRANSPORTATION

VOUCHERING FOR EXPENSES ¡ HOTEL EXPENSES ¡ AIRFARE ¡ GROUND TRANSPORTATION ¡ SUBSISTENCE ¡ GENERAL RULES ¡ HOSPITAL VOUCHERS

HOTEL EXPENSES ¡ ¡ YOUR ROOM AT THE HOTEL IS ALREADY PAID FOR BY CPSC. DO NOT VOUCHER US FOR LODGING.

AIRFARE ¡ ¡ ¡ CPSC IS PAYING FOR YOUR ROUND TRIP AIRFARE. ONLY ADD THE AIRFARE TO THE VOUCHER IF YOU OR HOSPITAL HAS NOT BILLED US FOR THE AIRFARE. A RECEIPT FOR YOUR AIRFARE MUST BE ATTACHED TO THE VOUCHER.

GROUND TRANSPORTATION ¡ ¡ ¡ NOTE YOUR MILAGE TO AND FROM THE AIRPORT. CPSC PAYS. 375 CENTS PER MILE (EXAMPLE: 10 MILES EACH WAY--20 MILES X. 375 = $7. 50. CPSC PAYS FOR TAXI AND SHUTTLE SERVICE TO AND FROM THE AIRPORT FROM YOUR HOME.

GROUND TRANSPORTATION (cont. ) ¡ ¡ CPSC PAYS FOR PARKING AT THE AIRPORT. CPSC PAYS FOR SHUTTLE, TAXI, OR METRO FROM THE AIRPORT TO THE HOTEL AND BACK.

SUBSISTENCE ¡ SUBSISTENCE IS $51. 00 PER DAY. ¡ CPSC PAYS 75% OF THE SUBSISTENCE ($51. 00) FOR THE FIRST AND LAST DAY OF THE TRIP AND THE FULL AMOUNT FOR ANY OTHER DAYS ($38. 25). ¡ TWO DAYS = $76. 50 ¡ THREE DAYS = $127. 50 ¡ FOUR DAYS = $178. 50

GENERAL RULES ¡ ¡ KEEP ANY RECEIPTS OF $75. 00 OR MORE AND SUBMIT IT WITH YOUR VOUCHER. HOSPITAL CONTRACTS HAVE ALREADY BEEN ADJUSTED TO PAY FOR YOUR SALARY AND OVERHEAD.

HOSPITAL VOUCHERS ¡ ¡ YOU WILL NEED TO FOLLOW WHATEVER RULES YOUR HOSPITAL HAS IN PLACE TO ENSURE YOU ARE REIMBURSED FOR THE SEMINAR. THE HOSPITAL NEEDS TO COMPLETE A VOUCHER LIKE THE SAMPLE VOUCHER IN YOUR TRAINING MANUAL FOR REIMBURSEMENT.

U. S. Consumer Product Safety Commission EPDS, Suite 604 4330 East West Highway Bethesda, MD 20817 Attention: ______________ Subject: INVOICE FOR CONTRACT NO. ____04 -9999_____________ Contractor Name and Mailing Address General Hospital Main Street City, State, Zip Code This invoice is being submitted for the NEISS-related work performed or expenses incurred during the month(s)of __August_____ 2004____. Item Quantity Unit Price Amount I. Surveillance Cases Coded and or transmitted (accepted) A. Consumer Product (CPSC related Cases) (Accepted) B. Cases with Supplemental Coding ______ mths II. Monthly Telephone Charge Seminar Training AIRFARE SALARY PERDIEM (MEALS) GROUND TRANSPORTATION MILEAGE AIRPORT PARKING III. Other (Explain) 1 1 4 days 2 20 miles 4 days $. 375 $25. 00 $300. 00 240. 00 178. 50 32. 00 7. 50 100. 00 $858. 00 IV. Total Amount of this Voucher ______________________ Signature Title Date