Travel Expense Reimbursement Form, Tr-1
ADVERTISEMENT
1
2
3TRAVEL EXPENSE REIMBURSEMENT FORM, TR-1
Department:
Official Station:
Name of Payee:
AASIS#
Private Vehicle License No:
Place of Residence & Address:
DETAILED EXPENDITURES (OTHER THAN MILEAGE)
TRAVEL BY PRIVATELY OWNED VEHICLE
Date
20___
Name of Town
Common
Hotel
Per
Incident-
Tele-
Total
Between What Points
Mileage Rate Per Amount
Mo.
Day
Visited
Carrier
Room
Meals
Diem
Taxi
tals *
phone
For Day
From
To
Driven
Mile
Claimed
Sub-Totals
Total For Mileage
* Incidentals:
(1) Postage
(2) Parking Fees
(3) Registration Fee
(4) Emergency Car Repairs
RECAPITULATION
(5) Guide Service for the Blind
(6) Minor Purchases
(7) Meals for State Guests
and Wards of State
(8) Other (Explain)
Sub-Total:
Approved:
Travel Supervisor
Signature of Traveler
Mileage Claimed:
Total
Claimed:
______
Date:
Title
Revised 9/9/2002
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Business