Travel Authorization/expense Report

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The University of North Carolina at Greensboro
TRV-1
Travel Authorization/Expense Report
Shaded GRAY areas are for AP use only
(Rev. 1/15)
TRAVEL AUTHORIZATION
Traveler's Name:
Univ. ID#:
UNCG EMPLOYEE?
Contact Tel. No:
Date Filed:
Yes
No
US Citizen
Address Code&Address:
Are you a student?
Citizenship status: (Choose one)
Legal Permanent Resident
Non-Resident Alien-Attach NRA001 w/req docs
Yes
No
Academic Credit OR
Student Activity
Destination:
Official State Business
Estimated Cost of Trip:
Description:
Period Covered by this Voucher
Leave Date:
Time Left:
AM
Return Date:
Time Returned:
PM
I understand that any advance made by the University is a loan and that I am personally
I approve this travel, including the amount to be advanced; I approve lodging,
responsible for all monies advanced to me. If a travel advance is obtained and the
registration fee and meals (for out of country travel only) in excess of the
trip for which the advance is made is not taken, I agree to repay the advance immediately.
allowed rate, use of personal vehicle and /or airport parking for the trip
I understand that I have up to ten days following completion of the trip to repay
described above as a necessary University expense. The student
or substantiate the advance by completing and submitting this form with the required original
travel listed above is in accordance with
University Travel Policy 8,
.
receipts. In the event I fail to repay the advance, I agree that the University may deduct the
and is approved to be paid from Fund #:
amount of the advance from the next salary check due to me.
(Travel - Policy 9)
(Cross out any above phrases that are not approved)
Traveler's Signature
Date
Supervisor's/Dean's or Authorizing Signature(s)
Date
TRAVEL ADVANCE LOAN/PAYMENT TO VENDOR PRIOR TO TRIP
Fund:
Payment to Vendor Prior to Trip (attach original invoices):
Advance Loan Requested:$
$
$
(Loan to Traveler)
(Vendor Name)
Air
Registration
Acct Code
Acct Code
DOCUMENT NUMBER:
Invoice Date:
MULTIPLE
Document #:
(MMDDCCYY)
Transaction Date:
Bank
CM
Due Date:
VENDOR NUMBER:
REIMBURSEMENT OF EXPENSES PAID BY TRAVELER OR CHARGED TO PCARD
Reimbursable
PCard
Amounts
Out-of-
Out-of-
Non-
PC No.
Amount
Transportation:
In-State
State
Country
Employee
(To be paid)
Air Transportation (attach receipt unless paid in advance)
=
223010 223020 223030 223220
Bus/Rail Transportation
=
223040 223050 223060 223220
Mileage
x 57.5¢
=
223040 223050 223060 223220
Rental Car / Taxi :
(attach receipt)
=
223040 223050 223060 223220
Subsistence:
Hotel
nights @
=
223110 223120 223130 223320
Breakfast
meals @
=
Lunch
meals @
=
Dinner
meals @
=
Total Meals =
223140 223150 223160 223320
Other:
Registration
=
234510 234520 234530 223320
(attach receipt/proof of payment unless paid in advance)
Other (attach explanation or use back of form)
=
223170 223180 223190 223320
Fund
COA
Index/Fund Number(s)
Initials
PCard Not Used - Fund Initials
Amt. Reimbursed
G
Comments:
Total Travel Expenses to be Reimbursed:
Entertainment
(Attach receipt on reverse side. Describe who was entertained & business
purposes of entertainment.)
-221322
Non-State Fund to Charge for Entertainment
TRV-1 Form completed by:
Entertainment -Fund Holder's Initials
_______________________________________________
Less Travel Advance Loan Received:
Print Name
Tel. No.
Total Due Traveler/(UNCG):
Under penalties of perjury I certify this is a true and accurate statement of my citizenship
I have examined this reimbursement request and certify that it is just, necessary
and of the lodging, expenses and allowances incurred in the services of the State.
and reasonable, and in compliance with University policies.
Traveler's Signature
Date
Supervisor's or Dean's Signature
Date

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