Meal Reimbursement Per Diem Worksheet
Please use this worksheet for foreign per diem calculations. Use the rate applicable to the time of travel. Send the completed form to Pierrette M. Ahearn at MS#47.
Name:Molly Allison Phone:508-289-2298  Date: 09/22/2007
First City and Country
City: Bratislava  Country: Slovakia  Federal per diem rate for month of: September  = $90
(Use M&IE Rate Column B)
Breakfast (Per Diem Rate * .2) = $18 * meals6 = $108.00 
Lunch (Per Diem Rate * .3) = $_____ * meals_____ = $__________ 
Dinner (Per Diem Rate * .5) = $45 * meals5 = $225.00 
Total meal reimbursement for first city:  $ 333.00
Second City and Country
City: __________  Country: __________  Federal per diem rate for month of: _____  = $_____
(Use M&IE Rate Column B)
Breakfast (Per Diem Rate * .2) = $_____ * meals_____ = $__________ 
Lunch (Per Diem Rate * .3) = $_____ * meals_____ = $__________ 
Dinner (Per Diem Rate * .5) = $_____ * meals_____ = $__________ 
Total meal reimbursement for second city:  $ __________
Third City and Country
City: __________  Country: __________  Federal per diem rate for month of: _____  = $_____
(Use M&IE Rate Column B)
Breakfast (Per Diem Rate * .2) = $_____ * meals_____ = $__________ 
Lunch (Per Diem Rate * .3) = $_____ * meals_____ = $__________ 
Dinner (Per Diem Rate * .5) = $_____ * meals_____ = $__________ 
Total meal reimbursement for third city:  $ __________
Domestic Travel
Breakfast $* meals1 = $8.00 
Lunch $* meals1 = $12.00 
Dinner $* meals1 = $25.00 
Total domestic meal reimbursement:  $ 45.00
Total foreign meal reimbursement:  $ 333.00
Total reimbursement for all meals:  $ 378.00