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Office of Mental Health

Brief Directions for Completing Council Travel Forms

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Instructions for the Standard Voucher Leaving OMH site (PDF)

Block 1:

Agency Name = NYS Office of Mental Health
Agency Five digit code = 50000

Block 3:

Payee ID = your Social Security Number

Block 4:

First Name, MI, and Last Name in addition to your mailing address.

Block 6:

Add "Expenses incurred to attend MHSC Meeting on April 9, 2010" and enter your expenses in the "Amount" column. Add the amount from your Statement of Automobile Travel as well."

Block 7:

Sign and date the voucher. Attach all original receipts, including those for meals and transportation in the City. You are eligible to request breakfast and dinner reimbursement when you travel before 7 am and after 7 pm, respectively.

Instructions for the Statement of Automobile Travel Leaving OMH site (PDF)

Payee = Your name

Add date of travel in the left-hand column, complete the "From" and "To" columns, with hours of departure and arrival, as well as the miles traveled.

Fill in your personal car mileage reimbursement rate. Leaving OMH site

Sign the bottom of the form.

Where to Send Completed Forms

Tracy Stadler
New York State Office of Mental Health
Office of Planning, 8th Floor
44 Holland Avenue
Albany, NY 12229

Comments or questions about the information on this page can be directed to the Office of Planning.