ABOUT THIS FORM
INSTRUCTIONS
LOYOLA MARYMOUNT UNIVERSITY
TRAVEL EXPENSE REPORT
NAME
DEPARTMENT/OFFICE
CAMPUS/BUILDING
PHONE EXTENSION
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PURPOSE OF TRAVEL
DATE
TOTALS
CITY
1. Air/Train Fares
$ 0.00
$0.00
2. Breakfast
$ 0.00
$0.00
3. Lunch
$ 0.00
$0.00
4. Dinner
$ 0.00
$0.00
5. Hotel/Lodging
$ 0.00
$0.00
6. Ground Transportation
$ 0.00
$0.00
7. Personal Auto Reimb.
$ 0.00
$0.00
8. Parking
$ 0.00
$0.00
9. Registration
$ 0.00
$0.00
10. Telephone
$ 0.00
$0.00
11. Other
$ 0.00
$0.00
12. TOTAL EXPENSES
$ 0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
LESS: TRAVEL ADVANCE REQUEST # _______________ (
)
PAYMENT BY: CASH
CHECK
13. NET DUE TO TRAVELER
DIRECT DEPOSIT
$0.00
OR
13. NET DUE TO L.M.U.
MAILING ADDRESS: ________________________________________________
(
)
$0.00
(ATTACH CHECK PAYABLE TO "L.M.U.)
Street
CA
_______________________________________________
City
State
Zip
PRINT
ITEM #
DATE
AMOUNT
EXPLANATIONS
(REQUIRED FOR ITEMS 6,7, 11)
BUDGET ACCOUNT #
AMOUNT
TOTAL (must equal 13, above)
$0.00
RECEIPTS ARE REQUIRED FOR ALL ITEMS EXCEPT TIPS
I hereby certify that the expenses reported above are, to my knowledge, true and correct and were incurred by me in the performance
of University business.
EMPLOYEE SIGNATURE __________________________________________________________
DATE _________________
OFFICE/DEPT. HEAD APPROVAL __________________________________________________
DATE _________________
RESET