AGENCY: Department of Health. Human Resource Management and Employee Development

SERIES: 82918
TITLE: Private vehicle usage report
DATES: 1984-2009.
ARRANGEMENT: none

DESCRIPTION: This is a request for reimbursement of expenses for employees who travel on official business. It includes employee's name, title, social security number, account codes, reporting period, dates of travel, where employee traveled from and to, beginning and ending mileage, reason for trip, total miles for period, rate of reimbursement, amount due traveler, signature of employee, signature of reviewer, and the initials and date of initialing of the payroll clerk.

RETENTION

DISPOSITION

RETENTION AND DISPOSITION AUTHORIZATION

These records are in Archives' permanent custody.

APPROVED: 01/1986

FORMAT MANAGEMENT

Paper: Retain in Office for 1 year and then destroy.

APPRAISAL

Administrative

PRIMARY DESIGNATION

Private

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