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Nurse Apprentice Program ARPA Grant – Travel Requestnrhpadmin2023-03-20T19:55:10+00:00

Nurse Apprentice Program ARPA Grant – Travel Request

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. Reimbursement paid at the current GSA rate.
When choosing the meal rate select the option that matches where facility is located:
Clark or Washoe County (Incline Village/Reno/Sparks/Las Vegas/Henderson) = Urban Rate
All other Nevada locations = Rural Rate
Meals provided by the facility do not qualify for meal reimbursement.
You will be required to provide bank information as all travel requests are paid using EFT.

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

Personal Information

MM slash DD slash YYYY
Name(Required)
Physical Address(Required)

To Facility

Day one of your travel to the facility
MM slash DD slash YYYY
Start travel Time(Required)
:
End travel Time(Required)
:
2023 Mileage Per Diem

65.5 cents per mile

Day 1 Meals(Required)

Additional Day Meals

Request non travel day meals here
MM slash DD slash YYYY
Non Travel Day 1
Day 2 Onsite Meals Only
MM slash DD slash YYYY
Non Travel Day 2
Day 3 Onsite Meals Only
MM slash DD slash YYYY
Non Travel Day 3
Day 4 Onsite Meals Only
MM slash DD slash YYYY
Non Travel Day 4
Day 5 Onsite Meals Only

To Home

Your return trip
MM slash DD slash YYYY
Start travel Time(Required)
:
End travel Time(Required)
:
2023 Mileage Per Diem

65.5 cents per mile

Return Trip Meals
Hidden

Lodging

Lodging paid at GSA rates below
Lodging Reimbursement Requested
Lodging rate exceeds approved GSA rate ?(Required)
2022 Lodging Per Diem Rates
Incline Village/Reno/Sparks/Las Vegas = $102
Rural Nevada Rate = $96
Receipts are required for lodging
Max. file size: 16 MB.

Travel Request Total

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

Bank Information

All payments are made electronically directly to your bank account via EFT.
Bank Account Type(Required)

Nurse Apprentice Program ARPA Grant – Travel Request

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. Reimbursement paid at the current GSA rate.
When choosing the meal rate select the option that matches where facility is located:
Clark or Washoe County (Incline Village/Reno/Sparks/Las Vegas/Henderson) = Urban Rate
All other Nevada locations = Rural Rate
Meals provided by the facility do not qualify for meal reimbursement.
You will be required to provide bank information as all travel requests are paid using EFT.

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

Personal Information

MM slash DD slash YYYY

Name(Required)

Physical Address(Required)

To Facility

Day one of your travel to the facility

MM slash DD slash YYYY

Start travel Time(Required)
:

End travel Time(Required)
:

2023 Mileage Per Diem

65.5 cents per mile

Day 1 Meals(Required)

Additional Day Meals

Request non travel day meals here

MM slash DD slash YYYY

Non Travel Day 1
Day 2 Onsite Meals Only

MM slash DD slash YYYY

Non Travel Day 2
Day 3 Onsite Meals Only

MM slash DD slash YYYY

Non Travel Day 3
Day 4 Onsite Meals Only

MM slash DD slash YYYY

Non Travel Day 4
Day 5 Onsite Meals Only

To Home

Your return trip

MM slash DD slash YYYY

Start travel Time(Required)
:

End travel Time(Required)
:

2023 Mileage Per Diem

65.5 cents per mile

Return Trip Meals

Hidden

Lodging

Lodging paid at GSA rates below
Lodging Reimbursement Requested
Lodging rate exceeds approved GSA rate ?(Required)
2022 Lodging Per Diem Rates
Incline Village/Reno/Sparks/Las Vegas = $102
Rural Nevada Rate = $96
Receipts are required for lodging

Max. file size: 16 MB.

Travel Request Total

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

Bank Information

All payments are made electronically directly to your bank account via EFT.
Bank Account Type(Required)

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

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