KCDD Day at the Capitol Travel Assistance form

KCDD Day at the Capitol Travel Assistance form
Thank you for your interest in travel assistance for KCDD Day at the Capitol!

We understand that travel costs can make it difficult to attend events like this. Our goal is to ensure that everyone who wants to participate in KCDD Day at the Capitol has the opportunity to join us.

If you are planning to attend the KCDD Day at the Capitol and need support with travel, you are welcome to apply for travel assistance.

This assistance is intended for individuals who may not be able to attend without help. It may cover:

🏨 Hotel accommodations, if needed
🚗 Mileage reimbursement for driving
📄 Other reasonable travel-related expenses

⚠️ Please note: To apply, you must be registered for KCDD Day at the Capitol on Wednesday, February 11, 2026. The deadline to request travel assistance is January 7, 2026.

If you haven’t registered yet, you can complete your registration HERE.

Contact Information
Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Please provide the city and state you will be traveling from to attend the event:*
Example: Topeka, Kansas
Please indicate the type of travel assistance you are requesting:*

Hotel accommodationMileage reimbursement
How many beds do you require in your hotel room?*

12
Please list any other registered conference participants traveling with you (if applicable):
Do you have any questions, concerns, or additional information you would like to share with us?

Non-Employee Travel Agreement
This agreement applies to travel expenses reimbursed to traveler or paid for traveler by the Department for Children or Families (DCF) or Kansas Council on Developmental Disabilities (KCDD).
- DCF or KCDD will reimburse the cost of authorized travel expenses incurred by traveler provided that:
- The traveler was traveling on DCF or KCDD business, or in support of DCF or KCDD mission; and
- The traveler had advance authority to incur travel expenses through recognition of travel in a grant budget; and
- The expenses are reasonable, appropriately documented, and comply with DCF travel policies and procedures, and policies and procedures of funding; andTravel supported by grants or contracts must comply with DCF policies and procedures. It is the responsibility of the traveler to make the most economical travel arrangements possible, consistent with the purposes of the trip. Travel arrangements made on behalf of the traveler by DCF will be the most economical, consistent with the purposes of the trip. It is the responsibility of the traveler to inform DCF of any special accommodation needed for travel before travel arrangements are made.
Expense reimbursement claims and supporting documentation must be submitted to DCF Payables within 15 business days of completing travel.
Traveler’s Full Legal Name (First, Middle, Last):*

First NameMiddle NameLast Name
Please indicate the specific dates you wish to receive advance travel authorization:

Date* through Date*
Destination of Travel*
Example: Topeka, Kansas
Please provide the name of the conference or event and describe the purpose of your travel:*
Example: KCDD Day at the Capitol - to participate in the event.
By signing below, I acknowledge that I have read and understood the terms of this agreement:*

Powered by Jotform SignClear

You're almost done! ✅

Just one final step to complete your application:

📬 Once we receive your application, a member of the KCDD team will reach out to coordinate travel logistics and confirm details for your travel assistance.

👉 Don’t forget to hit the Submit button below to complete your application!
Should be Empty:

KCDD Day at the Capitol Travel Assistance form

Contact Information

Non-Employee Travel Agreement