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National Directory for the Formation, Ministry and Life of Permanent ...

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202 Visit <strong>of</strong> Consultation TeamsAPPENDIX CReimbursement ReportConsultation Team VisitBishops’ Committee on <strong>the</strong> DiaconateUpon completion <strong>of</strong> <strong>the</strong> Consultation Visit, each team member fillsout this <strong>for</strong>m to account <strong>for</strong> <strong>and</strong> request remuneration <strong>of</strong> expensesincurred as part <strong>of</strong> <strong>the</strong> consultation team visit. The member mails <strong>the</strong>request within seven days to <strong>the</strong> diocesan <strong>of</strong>fice <strong>of</strong> <strong>the</strong> diaconate at <strong>the</strong>site <strong>of</strong> <strong>the</strong> visit or to <strong>the</strong> person/<strong>of</strong>fice designated by <strong>the</strong> host diocese.A copy is also mailed to <strong>the</strong> USCCB Secretariat <strong>for</strong> <strong>the</strong> Diaconate.The diocese arranges <strong>for</strong> reimbursement within thirty (30) days.DateTeam Member NameAddressCity, State, ZipTelephone(s)FAXE-MAILSite (Diocese) <strong>of</strong> VisitDates <strong>of</strong> VisitExpenses Incurred (attach receipts)AirfareAuto (.304 per mile) or RentalStipend ($50.00 per day)Miscellaneous Expenses+Meals+Airport Transfers+O<strong>the</strong>r Expenses (be specific)TOTAL EXPENSES-ADVANCES RECEIVEDTOTAL REIMBURSEMENT

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