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Project ID. Dept #. PO#. STATE OF NEW MEXICO. PAGE. DATE. 2 OF 2. ITEMIZED SCHEDULE. AGENCY. VOUCHER NUMBER. AGENCY. 63000. Human Services Department. OF TRAVEL EXPENSES. NAME. CODE. (FOR FISCAL USE ONLY). NAME. CAR LICENSE NUMBER. POST OF DUTY (city). PROPOSED (80% ONLY).

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Project ID

Dept #

PO#

STATE OF NEW MEXICO

PAGE

DATE

2 OF 2

ITEMIZED SCHEDULE

AGENCY

VOUCHER NUMBER

AGENCY

63000

Human Services Department

OF TRAVEL EXPENSES

NAME

CODE

(FOR FISCAL USE ONLY)

NAME

CAR LICENSE NUMBER

POST OF DUTY (city)

PROPOSED (80% ONLY)

(ADVANCE VOUCHER)

00000

VENDOR NUMBER

MODEL

RESIDENCE (city)

ACTUAL

8:00 AM

THRU

5:00 PM

REG. WORK DAY

YEAR

(RECOUPMENT VOUCHER)

DATE

TIME: SHOW AM OR PM

CHARACTER OF EXPENDITURES

ODOMETER/MAP MILES

AMOUNTS

DEPARTURE

ARRIVAL

ENTER DESTINATION, NATURE OF OFFICIAL

ENTER START

NO. OF

MILEAGE

PER DIEM

MISCELLANEOUS

TRAVEL/PURCHASE

AMOUNTS

BUSINESS, PARTY CONTACTED AND MISCELLANEOUS INFORMATION

& FINISH

MILES

$

-

$

-

$

-

$

-

$

-

$

-

$

-

$

-

$

-

$

-

$

-

$

-

$

-

$

-

$

-

$

-

$

-

$

-

$

-

$

-

$

-

-

$

$

-

$

-

$

-

$

-

REIMBURSEMENT IS BASED ON (CHECK ONE)

TOTALS

0

$

-

$

-

$

-

$

-

SUPERVISOR'S APPROVAL (signature & date)

ACTUAL EXPENSES

(receipts required)

ADVANCE AMOUNTS

80%

APPROVED RATES

ADJUSTED

(regular mileage and per diem)

REIMBURSEMENT

X

JURAT: I, *

*(TYPE PAYEE NAME)

Check here if this claim is in compliance with the Nonroutine Reassignment

DO SOLEMNLY SWEAR THAT THE ABOVE ACCOUNT AND THE WITHIN ITEMIZED STATEMENT ARE JUST AND TRUE IN ALL RESPECTS AND

provisions of the DFA Regulations Governing the Per Diem and Mileage Act.

COMPLIES WITH THE DFA REGULATIONS GOVERNING THE PER DIEM AND MILEAGE ACT.

PAYEE SIGN HERE:

DATE:

PED-RIO-ISTE=(REVISED 7/06) 2004 STATE OF NEW MEXICO

White: DFA Copy

Pink:

Agency copy

Canary: Agency copy

DISTRIBUTION:

How am I supposed to fill out the ISTE?


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Important Reminders;

1. Return from overnight travel:

  • (a) for less than 2 hours, none

  • (b) for 2 hours, but less than 6 hours, $12.00

  • (c) for 6 hours or more, but less than 12 hours, $20.00

  • (d) for 12 hours or more, $30.00

2. Actual reimbursement for meals:Actual expenses for meals are limited by Section 10-8-4(K)(2)NMSA 1978 (1995 Rel. Pamp.) to a maximum of $30 for in-state travel and $45.00 for out-of-state travel for a 24-hour period.

3. Agencies, public officers or employees who incur lodging expenses in excess of $215.00 per night must obtain the signature of the agency head or chairperson of the governing board on the travel voucher prior to requesting reimbursement on the encumbering document at the time of encumbering the expenditure.




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6.Check the totals in your total columns. Be sure to have the Traveler and the Supervisor sign TWO copies of an original ISTE. The ISTEs and all proper backup documentation must be attached and submitted to the Accounts Payable Bureau in ASD in a timely fashion.

7. When printing the ISTE be sure to print in color.

8. Only FOUR travel days fit on one sheet of the ISTE. If the traveler is gone for more than four days, this process must be repeated. Be sure to indicate the proper number of pages for the ISTE on the top right corner.


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Don’t Be an Offender!!!

  • Be sure to avoid common mistakes when submitting the accounting package for travel to the Accounts Payable Bureau.

  • Avoiding mistakes will allow your transaction to post and a warrant to be cut to the Traveler in a more timely manner.


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FY 2009 DFA Requirements:

  • Each day should be listed separately.

  • All expenses for the day should be listed below the day.

    • *FCD Audit Bureau audits travel day by day NOT lump sum totals.

  • All vehicle information must be provided, even if it is a state vehicle.

  • Original signatures for both the Traveler and the Supervisor are required.

  • Mileage can be combined.

    • When using the mileage chart, include a copy with accounting package.

    • When using Rand McNally include the mileage page with accounting package.

      ______________________________________________________

  • Receipts must be processed according to DFA standards.

  • Always follow the DFA Travel and Per Diem rule.