Grant and Non-Employee

Travel Reimbursement Request

Use this form to request reimbursement for official Judicial Branch travel that is paid by a grant, and/or incurred by a non-employee or volunteer.


Up to ten (10) days of travel can be included on a single form; submit additional forms if necessary. In-state and out-of-state travel should be submitted on separate forms; do not mix both types of travel on the same submission.


All requests must comply with the Judicial Branch Travel Policy, available on Juno. Attach applicable receipts and/or documentation of prior approval (AOC-A-182 Special Travel and Training form).


By entering the Judicial Branch email address of the person or point-of-contact hosting the training, meeting, or conference they will receive a copy of this submission and be required to review the details for accuracy and approval.


By submitting this form, you are, under penalties of perjury, certifying this is a true and accurate statement of the city of lodging, expenses, and allowances incurred in the service of the State. If Federal GSA standard lodging rates are used, you affirm that you complied with the policy criteria for such rates.


For assistance contact NCAOC Fiscal Services at AccountsPayable@nccourts.org.

Judicial Branch Employee*
Travel Special Funding Source*
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Select the name of the Traveler’s Judicial Branch group

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Provide the name of the Traveler's specific specialty court, conference, or commission

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Provide the event name (not the traveler's name) that was hosted or organized by the Judicial Branch

You must enter the Judicial Branch email address of the person or point-of-contact hosting the training, meeting, or conference you are attending. If needed, you can enter more than one email address separated by a comma (",").

The standard rate should be used for:

1) non-employees who are not volunteers, etc. and

2) employees who did not have a Judicial Branch-owned vehicle available for use.


The lowest employee rate should be used by employees only if a Judicial Branch-owned vehicle was available for use, but the Employee Traveler chose to drive a personal vehicle.


The $0.25/mile rate should be used for volunteers and non-employee members of state boards, committees, commissions, and councils


If you are not requesting mileage reimbursement choose "This does not apply."


This will be used to auto-calculate the dollar amount based on each day's mileage entered in the form.

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In-state and out-of-state travel should be submitted on separate forms; do not mix both types of travel on the same submission.


Out-of-state submissions must include a completed AOC-A-182 Special Travel and Training Form.

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Select a single month of travel

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Travel For Year*

If you received a Travel Advance from NCAOC enter that amount here

(applicable to Judicial Branch employees only).

Day 1 Travel

Provide the full street address of departure and arrival.

Example: "316 Fayetteville St, Raleigh, NC 27601 to 425 N. Cherry St, Winston-Salem, NC 27101"

Describe the purpose of the trip, such as meeting, conference, training, case-related travel, etc.

Provide the total or round-trip mileage for the day. The form will auto-calculate the dollar amount based on the rate category you selected above.

If you incurred other transportation costs (airfare, taxi/Uber, parking, tolls, etc.) or miscellaneous expenses include it here. **Receipt Required**

Enter the amount of the expense(s); provide one total amount per day

Choose the category that applies to this day of travel and the form will auto-calculate the dollar amount:


100% = for full days of overnight travel status


75% = for partial days of travel when in overnight travel status; the partial day is the day of departure or the day of return (departure and arrival times are not a factor)


Custom Amount = when a meal is provided at a Judicial Branch-sponsored event, or for eligible single travel days

**Receipt Required for meals claimed during single travel days**

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Use this field to manually calculate your subsistence amount for travel days when a meal is provided as part of a Judicial Branch-sponsored event. Provide the total amount for the meals that were not provided or were "on your own."


Breakfast $10.10 | Lunch $13.30 | Dinner $23.10


Or for single days of travel when the normal workday is extended by three (3) hours or more, you can request actual expenses not to exceed the rate for the specific meal

**Receipt Required**

  • For lodging paid out-of-pocket with personal funds: include the room rate and eligible fees and taxes. Include eligible on-site parking charges, if applicable. Non-eligible expenses (alcohol, room service, entertainment, etc.) should not be included. **Receipt/Hotel Folio Required**


  • For lodging exceeding the state or Federal GSA rate: you must attach an approved AOC-A-182 form.


  • For lodging booked through Sequel Travel or otherwise paid directly by NCAOC: do not list those expenses here.


Enter the total eligible lodging amount:

Day 2 Travel

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Day 3 Travel

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Day 4 Travel

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Day 5 Travel

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Day 6 Travel

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Day 7 Travel

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Day 8 Travel

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Day 9 Travel

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Day 10 Travel

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Attach receipts for all expenses other than personal vehicle mileage and subsistence per diem.

GRANT-FUNDED TRAVEL: must also include a completed in-kind form and turn-by-turn map directions for mileage claimed.

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