Travel Expense Report Template
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1Travel Expense Report
Travel Expense Report #
Traveler Vendor #
Destination 1
Traveler
Department:
Destination 2
Department Location:
Purpose Of Trip
Departure Time: First Day :
Last Day:
Arrival Time:
First Day :
Last Day:
Misc. Expenses :
Total
Car Rental :
Total
Transportation:
Airfare From :
To:
Total
Mileage From :
To:
Total
Toll Charges :
Total
Registration Fees :
Total
Meals
Dates of
Limo/Taxi
Car
Phone
Lodging
Tips
Totals
Travel
Or Bus
Storage
calls
Breakfast
Lunch
Dinner
Totals
Adv Acct
Ref
Amt
Total Expenses
I hereby certify that the expenses claimed in
this voucher were incurred for official
business and the claim is as allowed by the
company policy.
Due Traveler
Due Company
Traveler’s Signature
Date
Account
Fund
Dept
Program
Class
Project
Type
Amount
Total Expenses
First Level Approval by (Name &Sign)
Date
Second Level Approval by (Name &Sign)
Date
Audited By
Received by Accounting Dept on date
Departmental Point of Contact for any Claim related Clarifications
Name
Phone
• Ensure that this claim form is submitted along with the original supporting documents + photocopies of all documents.
• A copy of this claim form should be retained for your records.
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