Travel Reimbursement Form

Use this form for either Cash Advance Reconciliation and/or reimbursement. Considerations before beginning your reimbursement:

  1. ensure all receipts are itemized and provide proof of payment.
  2. There is no need to include expenses that were prepaid for you. 
  3. scan your receipts or saved emails/documents as a PDF for upload. (combine using Adobe Acrobat or CutePDF)
  4. if your conference registration covered meals, include that in the comments section.
  5. if you took personal travel in conjunction with business travel, you must include the dates/times and flight comparison if applicable.
Personal Information
Trip Information
Departure Information
Destination Information
Actual Travel Expenses
Cash Advance?
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$

If a conference rate was provided and not utilized, please explain in the comments. For lodging rates that fall between 1.5x - 2x the daily max lodging per diem rate will need additional justification. 

Meals

In the comment box below, list any meals that were provided as part of your registration fee, included on your flight, and/or hotel package (such as free breakfast). These meals may not be included for reimbursement.

If you prefer, meal receipts can be submitted for actual meal expenses.

For per diem, amounts, please review the rates here. 

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$
$
$

Mileage rate after January 1, 2020 is $0.575 cents per mile. The rate for 2019 was $0.58/milePlease upload a Google map of your beginning/final destinations for mileage. 

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Taxis, subway, bus fare, etc.

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Baggage fees, tolls, etc.

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Documentation

Please be sure to choose file and then hit upload before submitting your form to ensure attachments are received.

Upload requirements
Upload requirements
Upload requirements
Upload requirements
Upload requirements

Be sure your receipts show proof of payment or additional documentation may be required. If you're not able to upload your receipts, please bring/mail receipts to Lynaya Elliott. You will receive an email from the Arts & Sciences Business Service Center requesting your electronic approval to certify the travel expenses once your reimbursement has been processed.