Std255c 2026

See details

4.5 out of 5

37 votes

The document is a form from the California Department of Human Resources for requesting approval of lodging rates that exceed the state's delegated reimbursement rates. It outlines the necessary information to be provided, including claimant details, travel dates, lodging information, and reasons for exceeding the standard rates. Advance approval from CALHR is required, and requests must be submitted at least 10 days prior to travel.

Here's how it works

01. Edit your form online

Type text, add images, blackout confidential details, add comments, highlights and more.

02. Sign it in a few clicks

Draw your signature, type it, upload its image, or use your mobile device as a signature pad.

03. Share your form with others

Send it via email, link, or fax. You can also download it, export it or print it out.

How to use or fill out std255c with our platform

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

Click ‘Get Form’ to open the std255c in the editor.
Begin by entering your name in the 'CLAIMANT'S NAME' field. Ensure it is printed clearly or typed for legibility.
Fill in your primary residence details, including city, state, and ZIP code.
Provide your work phone number, including the area code, to ensure easy communication.
Specify your agency or department and division/office to identify where you are employed.
Indicate the headquarters city associated with your agency.
Enter travel dates by filling in the 'FROM' and 'TO' fields with the appropriate month, day, and year.
Complete lodging information by providing the lodging name, address, room rate, and contact phone number.
Select a reason for your trip and justify any requests for higher lodging rates as necessary.
Finally, sign and date the form at the bottom before submitting it for approval.

Start using our platform today to streamline your form completion process for free!