Use this form when requesting money from the union. Please fill it out and turn it into the Executive Board at least one month prior to the event.
Voucher for Lost Time and Expenses
Right click and “Save As” to your Desktop. When finished email to the Financial Secretary and
How to fill out at Lost Time
Fill out Name, Select County from drop down, Dept, Clock # and Period Covered (unless this is your first time being paid by the
union, then you will need to fill out everything).
union will always make you whole. If your normal schedule is a 12 hour shift, we will pay you the 12 hours, just split into 8 and 4 hours with appropriate rates. Otherwise, the union pays 10
hours per day (if it is your scheduled working day).
you are gone on a day that you are scheduled off, you will receive 4 hours of pay for that day. This will be entered into the non-taxable protion of the voucher. Under description, please type "4
hours per diem pay (4 x current pay rate)".
do not pay for preshift.
- Your only options for Hours Lost are: 4, 8 or 10.
- Enter the Date, Hours Lost, Rate per Hour, and Reason for the lost time.
When filling out the Work Schedule portion, please put the hours you were supposed to work on the day you were supposed to work it (There
should be an 8 or 12 on the Date and Shift that you are scheduled).
All other items go under the (Non-Taxable) Expense Voucher section.
you are eligible for per diem, the rates are: $71 or $41.50. If you are staying overnight the first night, you will claim $71 on the first day. If you are gone for less than half a day or traveling
back, you will claim $41.50. If food is provided, there is no per diem.
you choose, you can keep all food receipts and turn them in for the exact amount (although you will not be paid more than $71/day as this is an international guideline).
- All items, except per diem, that you claim in this section need to be accompanied by a receipt or will not be granted.
- Mileage rate is .655 per mile. Miles will be from the union hall (110 S. Harris, New Carlisle, IN 46552) to/from the destination.
If emailing, please send to Kristy Frantz (firstname.lastname@example.org) and Rob Caudillo
(email@example.com) or you can hand in everything to one of
We do our best to have you paid by the next pay period after we receive the voucher.
Please use this voucher form: