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K:\Shared Goodies\Forms\Travel Request Form
NAME(S) AND POSITION(S):
DATE:
NAME OF CLASS / MEETING:
DESTINATION:
DEPARTURE POINT
IF NOT WATERLOO:
DEPARTURE DATE:
RETURN DATE:
DATE(S) OF MEETING:
PURPOSE OF TRAVEL/TRAINING:
.
WILL TRAVEL REQUIRE ADDITIONAL PERSONNEL: COST $
YES NO
METHOD OF TRAVEL:
CITY VEHICLE PRIVATE VEHICLE
AIRFARE DEPARTING FROM:
ESTIMATE OF COST: BUDGET LINE ITEM:
LODGING TAXI GRANT REIMBURSABLE
MEALS PARKING YES NO
REGISTRATION AIRFARE REQUIRED CERTIFICATION
MILEAGE/FUEL MISC/TOLLS YES NO
TOTAL FOR ALL: $
TOTAL: $ PER PERSON
I BELIEVE THIS TRIP SERVES A PUBLIC PURPOSE
AND IS NECESSARY AND BENEFICIAL TO THE
CITY OF WATERLOO
Date Approved by Finance Committee:
DEPARTMENT HEAD
DATE
DATE
FINANCE DEPT. STAFF ONLY
LINE ITEM USED
FY ____ BUDGETED
EXPENDED YTD
THIS REQUEST
LEFT AFTER THIS
REQUEST
DATE
Original – Clerk/Finance Copy – Department
TRAVEL REQUEST
CITY OF WATERLOO
010-09-8250-1346/010-09-8250-1315
27 5,000.00/7,950.00
282.55/0.00
282.55
4,434.90/7,950.00
8/25/26
Missy Gearhart, Assistant Director of HR
10/6/2026
Ahlers and Cooney Annual Employment Law
Seminar
10/6/2026 10/6/2026 10/6/2026
Updates on employment laws and trends in lawsuits that have happened in the public sector.
Driving personal vehicle due to outside obligations. Mileage: 140 x 2 = 238 x .725 = $203.00
x
x
Waterloo
010-09-8250-1346/010-09-8250-1315
x
110.00
203.00
x
313.00 313.00
Lance Dunn
8/13/2026
West Des Moines
Docusign Envelope ID: AE286A31-9B52-8F16-8394-56A9F8D76D44
9/8/2026