AIRLINE TICKET ADMINISTRATION
This form is to be completed for airline tickets reimbursed prior to the trip.
Cheque payable to
Name of Individual Travelling
(If different from above)
Department
Amount of Ticket
Reason for Advance
DETAILS OF TRIP
Destination
Purpose of Trip
Departure Date Return Date
Within 10 days of my return, I will submit to Financial Services the actual boarding passes. If it is necessary to
cancel my flight, I will forward the refund to Mount Allison University to reimburse the account. If I fail to
submit the actual boarding passes, I am obligated to refund to Mount Allison University the amount I received.
Amount of Claim Signature
Date Counter Signature
CHARGE EXPENSES TO - (Claimant to complete) FINANCIAL SERVICES ONLY
Complete
Account No.
Total
Amount
Tax
Code
Entered Account
Description
Invoice Number
RTE Verified Approval
PDA
OTHER
GST/HST 11-0-000000-12325
Revised July 4, 2001
$0.00
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