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Free Louisiana R 1376 Form

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The Louisiana R 1376 form serves as a crucial document for employees of government entities, allowing them to claim an exemption from state sales taxes on hotel lodging charges incurred while conducting official business. Designed specifically for use by employees of the United States government and the State of Louisiana, as well as its political subdivisions, this form streamlines the process of documenting eligibility for tax exemptions related to lodging expenses. When an employee stays at a hotel for work-related purposes, this form certifies their employment status and the necessity of the lodging charges, ensuring that these costs are reimbursable by their government employer. The form requires specific details, including the name and title of the employee, the name of the government employer, and the hotel where the stay occurred, along with the dates of the employee’s stay. It is important to note that while the form provides an exemption for lodging taxes, it does not apply to other taxable hotel services such as meals or parking. Additionally, if the form is signed solely by the employee, it must be accompanied by written travel orders from the employer, indicating the necessity of the hotel stay. The hotel is responsible for retaining this certificate and any accompanying documentation to validate the tax exemption. Overall, the Louisiana R 1376 form is an essential tool for ensuring that government employees can effectively manage their travel expenses while adhering to state tax regulations.

Sample - Louisiana R 1376 Form

R-1376 (5/25)
Governmental Employees Travel
Sales/Use Tax Exemption Certificate
Louisiana Revised Statute 47:305.7(A)(1)
Louisiana Stadium and Exposition District
New Orleans Exhibition Hall Authority
For questions about this form
please contact:
Louisiana Department of Revenue
Phone: (855) 307-3893
Email: Sales.Inquiries@la.gov
This certicate is for use only by employees of the United States government, the State of Louisiana and its political subdivisions.
Employee Name Government Agency
Agency Address
City State ZIP Agency Contact Number
Authorized Dates of Travel
(mm/dd/yyyy - mm/dd/yyyy) Destination
This certies that the employee named above is an employee of the above named government agency and that the travel expenses
incurred are necessitated by the employee’s conduct of the official business of this government agency. These expenses are required
to be accounted for to his/her government agency employer and are reimbursable by the government agency to the employee in the
actual amount incurred. The government agency named above claims exemption from the payment of state and local sales taxes. For
hotel room rental charges (hotel/lodging costs), this exemption certicate is also valid for an exemption from the payment of Louisiana
Stadium and Exposition District and New Orleans Exhibition Hall Authority occupancy taxes. This exemption certicate does not
exempt the employee from payment of local hotel occupancy taxes in other jurisdictions. For additional information regarding hotel
occupancy taxes in other jurisdictions, please contact the jurisdiction directly.
Under penalty of perjury, I declare that I have examined this exemption certificate and accompanying documents, and to the best of
my knowledge and belief, it is true, correct, and complete.
Authorization
Employee Signature
Date
(mm/dd/yyyy)
Government Agency Representative (other than employee) Government Agency Representative Title (other than employee)
Government Agency Representative Signature
Date
(mm/dd/yyyy)
Hotel/Lodging Information
(To Be Completed by Hotel)
Hotel Name
Dates of Employee’s Stay
(mm/dd/yyyy-mm/dd/yyyy)
Vehicle Rental Information
(To Be Completed by Vehicle Rental Dealer)
Vehicle Rental Dealer Vehicle Rental Reservation Number
Dates of Vehicle Rental
Vehicle Parking Information
(To Be Completed by Vehicle Parking Dealer)
Vehicle Parking Dealer Vehicle Parking Reservation Number (if applicable)
Dates of Vehicle Parking
Notice to Dealer: Report this sale on the appropriate line of the Louisiana Hotel/Motel sales tax return as exempt room rentals.
R-1376 (5/25)
Governmental Employees Travel
Sales/Use Tax Exemption Certificate
Louisiana Revised Statute 47:305.7(A)(1)
Louisiana Stadium and Exposition District
New Orleans Exhibition Hall Authority
For questions about this form
please contact:
Louisiana Department of Revenue
Phone: (855) 307-3893
Email: Sales.Inquiries@la.gov
1. This certicate documents the employee’s eligibility for exemption from payment of certain sales and use taxes on authorized
travel expense charges that are directly reimbursable by the government employer.
2. The signatures certify the following:
• The person named above is an employee of the government employer named above.
• The travel expense charges incurred are necessary for the employee to conduct official business for the government
employer.
• The employee’s travel expenses are accounted for and reimbursable by the government employer to the employee.
3. Authorized travel expenses and charges include the following:
• Enterprise Rental Car (all Louisiana locations)
• Park N Fly (New Orleans only)
• Hotel/Lodging Costs for the occupancy of the employee’s hotel room (excluding other taxable hotel purchases, i.e., meals,
laundry, dry cleaning, vehicle parking, incidentals or damages)
4. For hotel room rental charges (hotel/lodging costs), this form is also valid for an exemption from the payment of Louisiana
Stadium and Exposition District and New Orleans Exhibition Hall Authority occupancy taxes and state and local sales/use
taxes.
5. This form does not exempt the holder from payment of local room occupancy taxes. For additional information regarding hotel
occupancy taxes in other jurisdictions, please contact the government agency directly.
6. When this form bears only the employee’s signature, it must be accompanied by a copy of the employee’s written travel orders
that show the dates and destination of the authorized travel. Vendors must retain this certicate and a photocopy of the travel
orders to document the exemption.
7. Vendors must retain this certicate for their records.
↓ Louisiana R 1376 File

Form Characteristics

Fact Name Details
Purpose The R-1376 form certifies governmental exemption from hotel lodging taxes for employees of the U.S. government, the State of Louisiana, and its political subdivisions.
Governing Laws This form is governed by the Louisiana Revised Statutes, specifically those relating to sales tax exemptions.
Eligibility Only employees conducting official government business are eligible for the exemption documented by this form.
Signature Requirement The form must be signed by the employee and, if applicable, another employee representative to be valid.
Travel Orders When signed only by the employee, a copy of the employee’s written travel orders must accompany the form.
Retention The hotel must keep the completed R-1376 form and a photocopy of the travel orders to document the exemption.
Limitations This form does not exempt the employee from local room occupancy taxes or from paying state sales tax on other hotel-related purchases.
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