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Nurse Apprentice Program ARPA Grant – Travel Request 2025Galina Tolle2025-01-03T11:22:25-08:00

Nurse Apprentice Program ARPA Grant – Travel Request 2025

NAP Travel Requirements:
All travel request forms are due by the 10th of each month for travel that occurred the month prior. Travel costs are reimbursed on a monthly basis.

To qualify for mileage reimbursement the distance must be at least 50 miles one way to the facility and start/end of drive times must be documented. Mileage reimbursement paid at the current GSA rate.

Please note: Mileage is reimbursed for the shortest direct route traveled in accordance with 41 CFR 301-2.4. (Airfare will not be reimbursed).

Meal & Lodging is reimbursed the current GSA per diem rate based on where the destination facility is located:
Clark County (Las Vegas/Henderson/Mesquite) = Urban Rate
Washoe County (Incline Village/Reno/Sparks) = Urban Rate
All other Nevada locations = Standard Rate
Meals provided by the facility do not qualify for meal reimbursement.

You are required to Register as a Traveler and provide bank information as all travel requests are paid using EFT. Distribution of monthly reimbursement can take 3-4 weeks. Payments are typically posted after the 1st of the month following the submission deadline.

"*" indicates required fields

Step 1 of 4

25%

Personal Information

This field is hidden when viewing the form
MM slash DD slash YYYY
Name*
Home Address*

PO Boxes are not permissible. Please enter the physical address.

This is the month & year of your travel date(s)

For example: If you began travel on 1/30/2025, select "January 2025"

Outbound To Facility

Day one of your travel to the facility
MM slash DD slash YYYY
Start Travel Time*
Time left home
:
Facility Arrival Time*
Before clocking in
:
Shortest driving route
Mileage Rate as of January 1, 2025:
$0.70 per mile

Return To Home

Your return trip from facility to home.
MM slash DD slash YYYY
Facility Departure Time*
After clocking out
:
End Travel Time*
Time arrived home
:
Shortest driving route
Mileage Rate as of January 1, 2025:
$0.70 per mile

Additional Reimbursement Requests

Please select any additional reimbursement requests below.
GSA Designation is: URBAN (Washoe County)*
GSA Designation is: URBAN (Clark County)*
GSA Designation is: RURAL*
TRAVEL DISTANCE REQUIREMENT

We’re sorry, but travel reimbursement is only available for students who live more than 50 miles from the facility. If you believe this is an error, please double-check your entry or contact us for assistance.

No Meals Requested - Please click NEXT

Travel Day Meals

*** Meals provided by the facility do not qualify for meal reimbursement. ***

Meals are allowable while on travel status (away from home) during the hours indicated:

Leave home at or before
07:00 = Breakfast
11:00 = Lunch
17:30 = Dinner

Arrive home at or after
09:00 = Breakfast
13:30 = Lunch
19:00 = Dinner

For overnight shifts only: You may select either Late PM or Early AM Lunch to account for your mid-shift meal.

Only one of each meal type is eligible within a 24-hr period, or per each work shift. SEE AN EXAMPLE

Outbound Meals - RURAL*
Return Trip Meals - RURAL*
Outbound Meals - URBAN (Washoe County)*
Return Trip Meals - URBAN (Washoe County)*
Outbound Meals - URBAN (Clark County)*
Return Trip Meals - URBAN (Clark County)*
> > > PROCESSING ERROR < < <

- You may have selected 2 lunches for the same 24-hour period

PLEASE CHECK YOUR OUTBOUND MEAL SELECTION

> > > PROCESSING ERROR < < <

- You may have selected 2 lunches for the same 24-hour period

PLEASE CHECK YOUR RETURN MEAL SELECTION

> > > PROCESSING ERROR < < <

- You may have selected 2 lunches for the same overnight period

PLEASE CHECK YOUR OUTBOUND/RETURN MEAL SELECTIONS

> > > PROCESSING ERROR < < <

- You may have selected 2 lunches for the same overnight period

PLEASE CHECK YOUR OUTBOUND/RETURN MEAL SELECTION

> > > PROCESSING ERROR < < <

- You may have selected 2 lunches for the same overnight period

PLEASE CHECK YOUR OUTBOUND/RETURN MEAL SELECTION

I need to claim meals on additional days*
These would be days that you were away from home, but not driving. (Travel lasting 3 or more consecutive days.)

Additional Day Meals

Request meal reimbursement for non-driving days here.

*** Meals provided by the facility do not qualify for meal reimbursement. ***

MM slash DD slash YYYY
Non Travel Day 1
RURAL*
URBAN - WASHOE COUNTY*
URBAN - CLARK COUNTY*

MM slash DD slash YYYY
Non Travel Day 2
RURAL
URBAN - WASHOE COUNTY
URBAN - CLARK COUNTY

MM slash DD slash YYYY
Non Travel Day 3
RURAL
URBAN - WASHOE COUNTY
URBAN - CLARK COUNTY

MM slash DD slash YYYY
Non Travel Day 4
RURAL
URBAN - WASHOE COUNTY
URBAN - CLARK COUNTY
This field is hidden when viewing the form

No Lodging Requested - Please click NEXT

Lodging

Lodging paid at GSA rates below:

2025 Lodging Per Diem Rates effective Jan'25
Washoe County (Incline Village/Reno/Sparks) = $138
Clark County (Las Vegas) = $159
Rural Nevada = $110

Receipts are required for lodging

Max. file size: 20 MB.
RECEIPTS ONLY.
Confirmation emails are not eligible for reimbursement.
This is the total on your receipt.
You are only eligible for one (1) overnight stay for each worked shift.
This field is hidden when viewing the form
*** GSA MAXIMUM REACHED ***
*** GSA MAXIMUM REACHED ***
*** GSA MAXIMUM REACHED ***

Travel Request Total

After submitting this form you will be redirected to your actual travel request that requires your E Signature.

CONTACT US
Nevada Rural Hospital Partners
4600 Kietzke Lane, Suite I-209
Reno, Nevada 89502
Phone: 775-827-4770  –  Fax: 775-827-0938

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