1. SUGGESTED AGENDA TOPICS:

Florida Department of Education • K-12 Education • Bureau of Exceptional Education and Student Services
ADMINISTRATORS’ MANAGEMENT MEETING�
FOR EXCEPTIONAL EDUCATION AND STUDENT SERVICES PERSONNEL
Renaissance Resort at World Golf Village • St. Augustine, Florida • September 21-23, 2004
REGISTRATION/INTENT TO SEEK REIMBURSEMENT FORM
FAX to BEESS/AMM @ 850-245-0953
A separate registration form must be completed by each participant.
Please print legibly.
No FAX cover sheet is needed.
Name
Title
District/Agency/Institution
Mailing Address
Telephone (work)
FAX
Emergency Contact Number (after work hours)
E-mail Address
YES, I plan to attend AMM
Florida (1-888-740-7020) —OR—
I have other accommodations.
SUGGESTED AGENDA TOPICS:
NO, I am unable to attend AMM.
Please send follow-up materials.
Note:
once.
meeting will allow you to specify this option. Please contact Mrs. Kristy Reed, 850-638-6131 (Suncom 769-6131) for additional
I am seeking reimbursement as follows (check one only):
(meal allowance and hotel).
For persons living fewer than 50 miles from the meeting site, the cost of mileage and meal allowance
at state rates.
AMM REGISTRATION
and understand that sessions are scheduled from 8:30 AM, Tuesday, 9/21, through
Noon, Thursday, 9/23. (If you are attending, check one of the following and provide agenda input.)
I have reservations at The Renaissance Resort at World Golf Village, 500 South Legacy Trail, St. Augustine,
AMM INTENT TO SEEK REIMBURSEMENT (FOR ELIGIBLE INDIVIDUALS ONLY - SEE MEMO)
It is Washington County’s interpretation of Internal Revenue Service (IRS) rules that, for non-employees, they must require
completion of the W-9 (Request for Taxpayer Identification Number and Certification). This form needs to be completed only
Taxes will be withheld after total reimbursements of more than $600.00 have been received in a single year. If you would
prefer that taxes not be withheld, PAEC can reimburse your employer, who will then reimburse you. The forms you fill out at the
information.
For persons who live more than 50 miles from the meeting site, the cost of per diem expenses at state rates
No transportation costs will be reimbursed.
Please return by August 27, 2004, to BEESS/AMM, Bureau of Exceptional Education and Student Services,
614 Turlington Building, Tallahassee, Florida 32399-0400 [telephone 850-245-0475 • FAX 850-245-0953].

Back to top