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Travel_Reimbursement_Form_header
MEETING TYPE


NOTE: All reimbursements payments are paid by direct deposit. If you have not yet enrolled in direct deposit payments with the ACEN, please  complete and submit the form at http://www.acenursing.org/forms/ach . 

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Please complete this form within 10 business days. Original itemized receipts must be uploaded for all reimbursable expenditures incurred by the traveler. Keep a copy of the completed travel reimbursement form and receipts for your records. Errors may cause delays in reimbursement.
MAILING INFORMATION












TRAVEL DETAILS










REIMBURSABLE TRAVEL EXPENSES











Peer evaluators will receive a daily stipend of $75 for visits after May 1, 2019, payable upon completion of the site visit. The per diem covers all expenses except baggage fees and mileage to and from the airport. The ACEN will provide a mileage rate congruent with the current standard rate set by the Internal Revenue Service.
Effective May 1, 2019, peer evaluators serving as a panelist or chair on an Evaluation Review
Panel (ERP) will receive a daily stipend of $75 for each travel day and $25 for the day(s) where
meals are provided during ERP, payable upon completion of the panel. The stipend covers
meals, parking, and tolls. A receipt is not needed for any of the expenses covered by the
stipend.
Baggage fees and mileage to and from the airport are not covered by the stipend. These
expenses will be reimbursed and an itemized receipt is needed for only a baggage fee(s). The
peer evaluator must submit to the ACEN all information required for reimbursement no later
than 10 business days after ERP. Failure to submit required information within 10 business days
will result in the peer evaluator forfeiting reimbursement. 
Honorarium


ESTIMATED REIMBURSEMENT

ESTIMATED REIMBURSEMENT

ESTIMATED REIMBURSEMENT

SUBMITTED TOTAL