Form Dwr 330 PDF Details

The DWR 330 form is a crucial document utilized by employees of the California Department of Water Resources, which falls under the State of California's Natural Resources Agency. Its primary purpose is to manage and record travel expenses claimed by employees for business-related activities. The form meticulously captures a variety of details essential for processing travel expense claims. These details include basic information such as the claimant’s name, employee identification numbers, and contact information, as well as the specifics of the travel like dates, locations, mileage, lodging, and meals among other expenses. Additionally, it incorporates sections related to the use of private vehicles for official travel, specifying the need for relevant insurance requirements and certifications confirming the authenticity of the claims made. The DWR 330 form requires various approvals and a comprehensive certification by the claimant that all information provided aligns with the Department of Personnel Administration (DPA) rules and is strictly for official state business. Furthermore, it advises on the attachment of receipts or vouchers for certain claimed expenses, ensuring transparency and accountability in the reimbursement process. This form, which was revised in December 2013, plays a vital role in the financial and operational efficiency of the Department by facilitating the smooth processing of travel reimbursements.

QuestionAnswer
Form NameForm Dwr 330
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other names330_one dwr 330 form

Form Preview Example

State of CaliforniaDEPARTMENT OF WATER RESOURCESCalifornia Natural Resources Agency

 

 

 

 

 

 

 

 

 

 

 

TRAVEL EXPENSE CLAIM

 

 

 

 

Page

 

 

of

 

 

Pages

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

See instructions and privacy statement on side two.

CLAIMANT’S NAME

 

 

 

SAP HR PERSONNEL NUMBER

 

 

 

SAP EMPLOYEE VENDOR NUMBER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CLASSIFICATION

 

 

 

 

 

BARGAINING UNIT NUMBER

 

DIVISION, BRANCH, ETC.

 

 

 

OFFICE PHONE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

RESIDENCE ADDRESS*

 

 

 

 

 

 

 

 

 

 

 

 

HEADQUARTERS ADDRESS

 

 

ROOM NUMBER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CITY

 

 

 

 

 

 

 

STATE

ZIP CODE

 

 

 

CITY

 

 

 

 

 

 

STATE

 

 

ZIP CODE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(1A) NORMAL WORK HOURS

(1B) WORK SCHEDULE

 

(1C) DAYS

OFF

 

 

 

(2) PRIVATE VEHICLE LICENSE NUMBER(S) (If

claiming mileage)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(3) EXCESS LODGING APPROVAL (STD 255c)

 

 

 

 

(4) MILEAGE CLAIM RATE

 

 

 

 

 

(5) TOTAL MILES CLAIMED

 

 

 

 

 

 

 

YES

 

 

NO

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(6) MONTH/YEAR

 

(8) LOCATION/

 

 

 

 

 

 

(10) MEALS

 

(11)

 

 

 

(12) TRANSPORTATION

 

 

 

 

 

 

(14)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(13)

 

 

 

 

PURPOSE OF

 

(9)

 

 

 

 

 

 

 

INCI-

 

 

 

 

 

(D)

 

(E)

 

TOTAL

 

 

 

TRIP FOR

 

 

 

 

 

 

O.T. L/T

 

 

(A)

(B)

(C)

 

 

BUSINESS

 

 

 

 

LODGING

BREAK-

 

 

 

DEN-

 

 

PRIVATE CAR USE

 

TAXI,

EXPENSES

 

 

 

EXPENSES

 

 

FAST

 

LUNCH

RELO. OR

 

TALS

 

TYPE

HOW

COST OF

 

 

 

 

TOLLS,

EXPENSE

FOR DAY

(7) DATE

TIME

 

 

 

 

 

MILES

AMOUNT

 

 

 

 

INCURRED

 

 

 

 

 

 

 

DINNER

 

 

 

 

 

USED

PAID

TRANS

 

PARKING

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SUBTOTAL

 

 

(15) COST OBJECT

AMOUNT REMARKS AND DETAILS (Attach receipts/vouchers when required)

CLAIM TOTAL

(16)TOTAL

(17)I HEREBY CERTIFY that the above is a true statement of the travel expenses incurred by me in accordance with DPA rules in the State of California and that all items shown were for official State business. I also certify that if a privately-owned vehicle was used, I have met the insurance requirements in accordance with DAM 4131 (SAM 0754) and a DWR 4107 is on file, and that the actual cost of operating the vehicle was equal to or greater than the rate claimed for mileage rates exceeding the minimum amount permitted by the IRS, DPA rules, or the appropriate MOU.

SIGNATURE OF CLAIMANT

DATE

(18) SIGNATURE OF OFFICER APPROVING PAYMENT

DATE

(19) SIGNATURE OF AUTHORITY FOR SPECIAL EXPENSES

DATE

 

 

TITLE

 

NCR USE ONLY

FOR ACCOUNTING USE ONLY

REVOLVING FUND CHECK NUMBER/CHECK DATE

TRIP NUMBER

DISTRIBUTION: Original and 1 copy – Payables Office; 1 to Field Administration Office; 1 to Employee

DWR 330 (Replaces STD. 262) (Rev. 12/13) Side One

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Stage # 1 for submitting Form Dwr 330

2. Soon after finishing the previous step, go on to the next part and fill out all required particulars in these blank fields - SUBTOTAL, COST OBJECT, AMOUNT, REMARKS AND DETAILS Attach, CLAIM TOTAL, TOTAL, and I HEREBY CERTIFY that the above.

CLAIM TOTAL, SUBTOTAL, and TOTAL inside Form Dwr 330

3. In this part, check out SIGNATURE OF AUTHORITY FOR, DATE, TITLE, NCR USE ONLY, REVOLVING FUND CHECK NUMBERCHECK, TRIP NUMBER, and DISTRIBUTION Original and copy. Each of these must be completed with utmost precision.

Form Dwr 330 completion process outlined (portion 3)

Always be very attentive while filling in REVOLVING FUND CHECK NUMBERCHECK and DATE, as this is where a lot of people make some mistakes.

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