Teacher Travel Reimbursement Form


Complete the following form to request reimbursement costs related to your participation in a Humanities Texas teacher program.

Teachers who traveled to the program from out of town will be reimbursed for approved travel costs up to $300. Eligible expenses include mileage, lodging, air travel, airport parking, and taxi fares. Meals are not reimbursable. Reimbursement rates are set by the State of Texas. Itemized receipts are required for all costs excluding gas. Please review the Humanities Texas travel policy for program participants for more information.

 
1 Start 2 Complete
Name
Workshop or institute selection
Point of departure
Personal vehicle mileage
Requests for mileage reimbursement MUST include a map route or proof of the vehicle's odometer readings. Humanities Texas will not process any requests for mileage reimbursement without either forms of proof.
$
The form does not autocalculate. Please calculate by multiplying your total mileage by .575 (The cost of gasoline is factored into the mileage rate set by the State of Texas.)
Other transportation
$
If you drove a rental car, please include the cost of the rental along with any gasoline expenses here. (Gasoline expenses are only eligible with the use of a rental vehicle.)
$
$
$
Parking
$
Valet parking is only eligible where self-parking is not available
Lodging
$
Lodging is reimbursable based on the per diem rates for each city.
Total
$
The form does not autocalculate. Maximum reimbursement from Humanities Texas is $300.
Receipts
Please upload images of all receipts here. (Save images onto your computer in one of the allowed file types listed below. To choose the images you wish to upload click on "Choose File." Once chosen, click Choose/Enter and you will be redirected to this page with your selections listed. Click the Upload button to finish uploading the files.) Copies of itemized receipts are required for eligible expenses, EXCEPT for personal vehicle mileage (Personal vehicle mileage reimbursement requests MUST include proof of odometer readings or a copy of a map route from the point of departure to the workshop venue). Receipts must show proof of transaction (e.g., confirmation emails cannot substitute for an itemized receipt). Humanities Texas will not process any requests missing receipts or proof of mileage.
Files must be less than 3 MB.
Allowed file types: gif jpg jpeg png tif psd pdf.
Files must be less than 3 MB.
Allowed file types: gif jpg jpeg png tif psd pdf.
Files must be less than 3 MB.
Allowed file types: gif jpg jpeg png tif psd pdf.