TRAVEL EXPENSE REIMBURSEMENT FORM
University ID number
Total Amount Requested
Date(s) of Travel
Please state Business Purpose of travel:
Include: 1. main reason for travel (if research provide short description); 2. conference/meeting title; 3. conference/meeting dates;
6. Attach program for conference
4. venue of conference/meeting; 5. Comments.
Residential Address (to mail reimbursement check):
Travel Expense Itemization:
Required Travel Receipts:
flight itinerary, must show proof of payment
itemized lodging receipt, must show proof of payment
Car Rental Expense
Taxi, Shuttle, Bus Expense
receipts required if combined total is greater than $75
Auto Mileage (number of miles)
copy of auto liability insurance card
total maximum domestic meal expense is $64 per day
Foreign Lodging Per Diem (number of days)
Foreign Meals Per Diem (number of days)
Account Or Project To Be Charged:
Receipts Smaller Than A Sheet Of Paper Must Be Taped To A Sheet Of Paper.
Attach All Receipts To Completed Form And Submit To The Departmental Office Coordinator.