Free CJA Travel Expense Worksheet - New Hampshire


File Size: 18.2 kB
Pages: 1
Date: June 15, 2009
File Format: PDF
State: New Hampshire
Category: Court Forms - Federal
Author: lynchd
Word Count: 128 Words, 857 Characters
Page Size: Letter (8 1/2" x 11")
URL

http://www.nhd.uscourts.gov/pdf/CJA%20Ref%205d.pdf

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US District Court - New Hampshire Travel Expense Worksheet

Case Number: Case Name:

With the exception of tolls, tips, and mileage calculations, receipts are required for all travel expenses as well as all subsistence expenses. Attach copies of all receipts, travel itineraries, schedules, tickets and all funding and/or travel authorization orders. Credit card receipts and billings are not acceptable.

All overnight and all travel by air, bus, or train must have judicial approval. Since the amount allowable is dependant upon place of travel, consult with Clerk's Office CJA Coordinator for specific diem rate or go to www.fedtravel.com

Date

(POV) (mileage only)

Mileage Reimbursement Amount

Tolls / Parking / Public Transportation

Airfare

Hotel

Meals

Taxi / Shuttle

Rental Car

Other

Daily Totals

Page Totals

Total(s)
USDCNH-56D ( 6/09 )