HomeMy WebLinkAboutTR_Kieler,_Huebner,_MortensenDocusign Envelope ID: B4387164-D743-4320-96E6-8081B8B59DB2
FINANCE DEPT. STAFF ONLY
LINE ITEM USED 010-12-1410-1315
TRAVEL REQUEST
CITY OF WATERLOO
FY 26 BUDGETED 40,500.00
EXPENDED YTD 270.00
THIS REQUEST 22,000.00
LEFT AFTER THIS
REQUEST 18,395.00
DATE September 2, 2025
Original - Clerk/Finance Copy - Department
NAME(S) AND POSITION(S):
Deric Kieler, FF, Dalton Huebner,FF, Lucas Mortensen, FF
DATE:
September 2, 2025
NAME OF CLASS / MEETING:
Paramedic School - Hawkeye Community College
DESTINATION:
DEPARTURE POINT
IF NOT WATERLOO:
HCC - Waterloo
DEPARTURE DATE:
August 2025
RETURN DATE:
July 2026
DATE(S) OF MEETING:
August 2025 - July 2026
PURPOSE OF TRAVEL/TRAINING:
This is a non -degree course that will provide the student with the prerequisite training necessary
to obtain National and State of Iowa Paramedic certification. NOTE: Dalton Huebner's tuition and
fees are not being paid for by the city, but he will be attending classes, at times, while on shift.
WILL TRAVEL REQUIRE ADDITIONAL PERSONNEL:
X COST $
YES NO
METHOD OF TRAVEL:
X CITY VEHICLE X PRIVATE VEHICLE
AIRFARE DEPARTING FROM:
ESTIMATE OF COST:
LODGING
MEALS
20,000.00 REGISTRATION
MILEAGE/FUEL
2,000.00
TOTAL FOR ALL: $ 22,000.00
TAXI
PARKING
AIRFARE
MISC/TOLLS
BUDGET LINE ITEM: 010-12-1410 1315
GRANT REIMBURSABLE
YES NO
REQUIRED CERTIFICATION
YES NO
TOTAL: $ 11,000.00 PER PERSON
I BELIEVE THIS TRIP SERVES A PUBLIC PURPOSE
AND IS NECESSARY AND BENEFICIAL TO THE
CITY OF WATERLOO
William Beck
I APPROVE THIS TRAVEL REQUEST
"—Signed by:
�ucl�r.�X Wood
�— D88E 184 FDA5F48A...
DEPARTMENT HEAD x W x
September 2, 2025 9/15/2025
DATE DATE
K:\Shared Goodies\Forms\Travel Request Form January 2010