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
Cash Advance?
$
$

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, 2019 is $0.58/mile. The rate for 2018 was $0.545/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.

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.