REIMBURSEABLE RELOCATION EXPENSES WORKSHEET
Reimbursable Relocation Expense |Maximum Allowable Reimbursement |Reimbursement Notes | |Estimated Employee Expense |Actual
Employee Expense | |Travel Reimbursement (in accordance with RPM 11.08 Travel Policy) | |
|En Route Travel by Air for employee |Coach Airfare |If | | |
|and immediate family members |Fly America Act: use US carriers |tic| | |
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| | |-11| | |
| | |25)| | |
| | |. | | |
|Per diem (lodging and meals & |Day 1 – Day 30 (including travel en route to new location) |For| | |
|incidental expenses (M&IE)) en route |Per diem (lodging plus M&IE (meals and incidental expenses)) |tem| | |
|at new work location and temporary |75% reimbursement for first and last day of travel for the employee |por| | |
|lodging at new work location up to 30|100% reimbursement for travel in-between the first and last day of travel for the |ary| | |
|days |employee |liv| | |
| |50% of the applicable M&IE is reimbursed for the first and last day of travel for |ing| | |
|Reimbursement rate for M&IE are |immediate family members age 12 or older |exp| | |
|determined by the new work location. |75% of the applicable M&IE for in-between the first and last day of travel for |ens| | |
| |immediate family members age 12 or older. |es | | |
| |37.5% of the applicable M&IE is reimbursed for the first and last day of travel for |gre| | |
| |children under age 12 |ate| | |
| |50% of the applicable M&IE for in-between the first and last day of travel for |r | | |
| |children under age 12. |tha| | |
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| | |50 | | |
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| | |e. | | |
|Shipment of personal effects (including clothing and luggage) |
|Temporary Storage of Household Goods |
| |
|Associated Miscellaneous Relocation |$1,000 with documentation | | | |
|Costs |Automobile registration | | | |
| |Drivers license and use taxes | | | |
| |Cutting and fitting of rugs, draperies and curtains | | | |
| |Forfeited utility fees and deposits | | | |
| |Purchase of insurance against damage to or loss of personal property while in transit| | | |
|Sale of former residence |
|Purchase of New Residence |
|Employment Assistance to Spouse (Domestic Partner) | | | |
|Maximum Total Approved Reimbursement: | | | |
|Difference | | | |
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