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. scan your receipts or saved emails/documents as a PDF for upload. (combine using Adobe Acrobat or CutePDF)
  3. if your conference registration covered meals, include that in the comments section.
  4. 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
Were you issued a cash advance for this trip?
$
$

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. 

$

EXCLUDE any meals that are included in your registration fee or hotel package may not be included for reimbursement. Meal receipts can be submitted for actual meal expenses. For per diem, amounts, please review the rates here. 

$
$
$

Mileage rate after January 1, 2018 is 54.5 cents a mile. The rate for 2017 was $0.535/mile. Please upload a Google map of your beginning/final destinations for mileage. 

$

Taxis, subway, bus fare, etc.

$

Baggage fees, tolls, etc.

$
Documentation
Please be sure to choose file and then hit upload before submitting your form to ensure attachments are received.
Files must be less than 200 MB.
Allowed file types: gif jpg png tif txt rtf html pdf doc docx xls.
Files must be less than 200 MB.
Allowed file types: jpg png pdf doc docx xls.
Files must be less than 200 MB.
Allowed file types: gif jpg png txt rtf html pdf doc docx.
Files must be less than 200 MB.
Allowed file types: gif jpg png html pdf doc docx.
Files must be less than 200 MB.
Allowed file types: gif jpg png txt rtf html pdf doc docx.
Be sure to include if any personal travel is being taken in conjunction with business travel.

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.