Omes Form 19 PDF Details

Are you one of the many taxpayers still trying to figure out how to fill out form 19? The process can be confusing and complicated, but with a few simple steps, you can make sure that your taxes are filed correctly and on time. With this blog post, we'll provide guidance on filling out Form 19 so that you don't have to worry about any unexpected tax issues down the road. We'll also discuss some other helpful ways to navigate IRS regulations without stressing yourself out too much! With our help, filing taxes doesn't have to be overwhelming - let's get started!

QuestionAnswer
Form NameOmes Form 19
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesOptimizer, CLAIMANT, mdhs new travel trip optimizer, tation

Form Preview Example

MUST BE ATTACHED TO A CLAIM JACKET VOUCHER FORM 15A OTHER AUTHORIZED COVER FORM

OMES FORM 19

 

AGENCY BUSINESS

 

CLAIM OF:

(Revised 12/12)

 

 

UNIT

 

Vendor I.D. #:

STATE OF OKLAHOMA

FOR AGENCY USE:

 

 

 

 

 

 

 

 

Travel Voucher

 

 

 

 

 

Address:

 

 

 

 

IN-STATE

 

OUT-OF-STATE

 

FOR

 

IS CAR GOV.

OBJECT ACCT

AMOUNT

 

OBJECT ACCT

AMOUNT

 

$

 

 

 

OWNED?

521110 Mileage

 

 

521210 Mileage

 

 

 

 

 

 

YES

 

 

521120 Per Diem

 

 

521220 Transp

 

 

AGAINST

 

 

NO

521130 Public Trans

 

 

521230 Per Diem

 

Agency, Bd.,

 

 

 

 

521140 Misc

 

 

521240 Local Trans

 

Comm., Dept.

 

LICENSE NO.:

521150 Lodging

 

 

521250 Misc.

 

 

ASSIGNMENT

 

 

 

 

 

 

 

521260 Lodging

 

I hereby assign this claim to

 

IS CLAIMANT A STATE

NON-EMPLOYEE

 

 

 

 

 

 

 

OFFICIAL OR EMPLOYEE?

521310 All Travel

 

 

 

 

and authorize the State Treasurer to issue a warrant in payment

 

YES

 

 

 

 

 

 

 

to said assignee.

 

 

 

 

 

 

 

 

 

 

 

NO

Sub-Total

$

 

Sub-Total

$

 

 

 

 

 

 

 

 

OSF-Audited By:

 

 

Total Amount

$

Claimant Signature

 

 

 

 

 

 

 

 

 

 

OFFICIAL DUTY STATION:

NATURE OF OFFICIAL BUSINESS:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Date

 

Show point travel status began, each point visited and the point travel status ended. (Vicinity only travel should show general geographical area, e.g., Tulsa Vicinity)

 

Date

Mileage

Travel Status

Number

 

Per-Diem

Year

 

 

Claimed

Hour

 

 

of

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Mo.

 

Day

Map

Vicinity

Entered

 

Ended

Days

 

Hrs

Rate

 

Amount

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Lodging

Amount

TOTAL

PER DIEM / LODGING

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TOTALS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TOTAL MILES @

¢

Per Mile = $

 

* Results $

 

 

 

 

 

 

 

 

Trip Optimizer Used for Mileage Comparison

 

Exempt from Trip Optimizer

 

(Place 'X' in appropriate box per Title 74, § 85.45l)

* Must be lowest amount from

the Trip

Optimizer results. (Multiple trips total if necessary)

 

>>MUST ATTACH COPY OF TRIP OPTIMIZER RESULTS TO THE VOUCHER. (ALSO, UNAVAILABILITY NOTICE OF RENTAL CAR) <<

 

>>For accurate results the optimizer calculation must be performed prior to trip < <

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

MODE OF PUBLIC TRANSPORTATION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

AGENCY DIRECT PURCHASE:

 

(X)

 

 

 

TOTAL PUBLIC TRANSP.:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ITEMIZED LOCAL TRANSPORTATION

 

ITEMIZED MISCELLANEOUS COSTS

 

 

 

 

 

 

 

TAXI:

 

REGISTRATION FEE:

 

 

 

(# of meals included in Registration

)

SHUTTLE:

 

 

TELEPHONE:

 

 

 

 

 

 

 

 

 

RENTAL CAR:

 

 

PARKING:

 

 

 

 

 

TOTAL ITEMIZED MISC.

 

OTHER LOCAL TRANSP:

 

 

 

TOLLS:

 

 

 

 

 

TOTAL LOCAL TRANSP.

 

 

 

OTHER MISC. COSTS:

 

 

 

TOTAL AMOUNT CLAIMED

 

 

I,, by signing here do under penalty

of perjury, declare that the information contained in this document and any attachments are true and correct to the best of my knowledge and belief. I also certify that no frequent travel miles earned from any official state transpor- tation have been used for personal transportation purposes.

|

|

|

Claimant Signature

Date

|

 

 

|

 

 

|

Manager's Approval Signature (If required)

Date

|