Travel Expense Report Template
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1
2
3Central State University
TRAVEL EXPENSE REPORT
P.O. No. _______________________
Travel Req. No. __________________
Employee Name:
Organization:
Organization Fund No:
Date of Travel:
Destination:
Purpose of Travel:
Amount Authorized:
TRAVEL REIMBURSEMENT INFORMATION
DATE:
DESCRIPTION
Totals
SUN
MON
TUE
WED
THU
FRI
SAT
Lodging daily rate
$0.00
Room tax
$0.00
Occupancy tax
$0.00
Other:
$0.00
Total Lodging
$0.00
POV Miles driven
0.0
Total POV (x .36/mile)
$0.00
Total Airfare
$0.00
Ground Transportation Type
Daily Rate
$0.00
Other Fees
$0.00
Other Fees
$0.00
Other Fees
$0.00
Total Ground Transportation
$0.00
Total Meals
$0.00
Meals subtotal per day
Adjustments
$0.00
subtotal after adjustment
Telephone
$0.00
Parking
$0.00
Toll
$0.00
Conference Registration
$0.00
Other:
$0.00
Daily Subtotals:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Total Expenses:
$0.00
Puchase Orders - Checks Issued prior to travel
Amount Prepaid by CSU:
$0.00
Puchase Orders - Authorized Reimbursements
Amount authorized:
$0.00
Amount Authorized:
$0.00
Total Expenses:
$0.00
Prepaid by CSU:
$0.00
Adjust:
Amount due traveler:
$0.00
Amount authorized exceeds expenses by $0.00
Signature __________________________________________________________ Date ________________________________
Approval ___________________________________________________________ Date _______________________________
(Organization/Area Manager)
ATTACH ALL RECEIPTS
POV mileage must be reported on POV Mileage Report Form for multiple days and/or mileage reimbursement only.
FN-01-2003-00
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