Per Diem Request Form

Clear Air Per Diem Request Form

Your Name(Required)

Email(Required)

Date Submitted (Today's Date)(Required)

Select Your Company(Required)

Please select Clear Air Enviro-Services or MIP.

Select Your Class(Required)

Please select your location.

Select Your Department(Required)

Please select Projects, Sales, or Recruiting.

Select Your Manager(Required)

Report will be sent to Manager for signature.

Per Diem Tracking (Below)(Required)

Please fill in each of the columns below. Per Diem: $40.00/day. Mileage Reimbursement is TBD. Total Reimbursement Due will be automatically calculated. Special projects per diems will be submitted by Management.

I understand.

Per Diem Acknowledgement(Required)

Per Diem will be paid for jobs where overnight stays are required. The per diem will be paid based on the number of nights spent away from home. For example, if you are out of town Mon-Fri you will be paid 4 days of per diem to match the 4 nights of hotel stay. Exceptions may be made in writing and signed off by management for specific projects where the number of per diem days awarded will be determined before the project starts.

I understand.

Per Diem Start Date(Required)

Project 1 of Week(Required)

Ex: 220822TCCO-Project Morgan

Total Daily Per Diem from Project 1 (Required)

Please enter your days of per diem.

Price: $40.00

Per Diem Start Date

Project 2 of Week

Ex: 220822TCCO-Project Morgan

Total Daily Per Diem from Project 2

Please enter your days of per diem.

Price: $40.00

Per Diem Tracking File Upload(Required)

Please upload your Per Diem Tracking Excel Document here.

Max. file size: 512 MB.

Please click on the below link (or copy & paste into browser url) for a copy of the Per Diem Tracking Excel Template:
https://intranet.clearairinc.com/wp-content/uploads/2023/04/2023-Per-Diem.xlsx

Approximate Reimbursement Due

Please Sign Here:(Required)