Phone Envelope

Per Diem Request Form

Please submit all Per Diem Requests using this form.

CLS Per Diem Policy:

  • Per Diem Requests for the previous week are due no later than 9am Monday each week.
  • Per Diem is reimbursed at a rate of $45 per OVERNIGHT stay

Per Diem Request

Name(Required)
Select the pay period you are claiming per diem for.
Select the job site name you are claiming per diem for.
Enter the number of days you are claiming per diem at this job site. 1 Overnight = 1 Day Per Diem. If you need to claim per diem for working at an additional site within the same pay week, please use the next line.

Select the pay period you are claiming per diem for.
Select the job site name you are claiming per diem for.
Enter the number of days you are claiming per diem at this job site. 1 Overnight = 1 Day Per Diem

Select the pay period you are claiming per diem for.
Select the job site name you are claiming per diem for.
Enter the number of days you are claiming per diem at this job site. 1 Overnight = 1 Day Per Diem
Only use for purposes of clarification. Do not use the field above for submitting your Per Diem request
Enter your email address to receive an email confirmation of your Per Diem Submission. If you do not receive a confirmation, you will need to resubmit the form.