Travel Expense Reimbursement Voucher

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MOVING & RELOCATION
College of William & Mary
Please check here
DOCUMENT
TRAVEL EXPENSE REIMBURSEMENT VOUCHER
INITIAL
ACCOUNTING USE
NUMBER
ONLY
INVOICE
Department:
DATE
NUMBER
Name:
PERSONAL VEHICLE USE STATEMENT
Address:
PERSONAL VEHICLE - COST BENEFICIAL TO THE COLLEGE - PERSONAL MILEAGE RATE
City, State:
STATE VEHICLE - NOT AVAILABLE OR ACCESSIBLE - PERSONAL MILEAGE RATE
Zip:
STATE VEHICLE - AVAILABLE OR NOT REQUESTED - FLEET RATE
Banner ID:
NON-EMPLOYEE
I hereby certify that all expenses listed below were incurred by me on official
I hereby certify that the travel undertaken in this reimbursement voucher has been reviewed and
business of the College and include ONLY such expenses as were necessary in
approved as necessary for the conduct of business of the College.
the conduct of business, with correct computations and supporting receipts
attached.
Signature of
COLLEGE EMPLOYEE?
YES
NO
Agency Designee
Signature of Traveler
Printed Name
Title
Title
Date
Date
2. DESCRIPTION - Location at which expense was incurred; Points
3. TOTAL MILES
8. OTHER
(MAPQUEST/
of travel and method of transport used. If POV was used, provide
1. DATE
4. MILEAGE
5. AIRFARE 6. PER DIEM 7. LODGING
(ITEMIZE IN
AMOUNT
ODOMETER
COLUMN 2)
"from/to" for mileage claim. Provide "Other" column explanations.
READING)
0.00
0.00
0.00
0.00
0.00
0.00
0.00
 
0.00
 
0.00
 
0.00
TOTALS:
0.00
0.00
0.00
0.00
0.00
0.00
0.00
TOTAL SHEET 2
Form Prepared By:
Date:
GRAND TOTAL
0.00
Phone Extension:
Travel Advance Number:
AMOUNT
PURPOSE OF TRIP
DESCRIPTION
Conference or Training Seminar
Presentation
Education
Recruitment
Investigations
Research
Fieldwork
Athletics
Other (explain):
Maximum
Index
Reimbursement
Account
(total should equal coded
Activity Code
amounts).
Amount
0.00
Guests and W&M students must provide W-9 form. International students must provide W-8 form. Avoid out-of-pocket expenses: READ THE REGULATIONS! College Travel Regulations can be found on the Travel Website at
Revised: January 2015

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