FORM BA3
Revised 7/8/13
Travel Expense Voucher
*Tab through all cells or else total at bottom may not appear
Date: Page: of Assigned Control Number
Business
Unit
Account Fund Department Program Class
Project
Grant
Employee ¨
Non-Employee ¨
Student ¨
Vendor ID Name
Operating Unit Title (College or Central Ofce Title) Work Location
Residence (Street Address) Residence City, State and Zip Code
Date
Location
Lodging
Private
Auto Miles
Meals Totals
From: To:
Purpose:
Purpose:
Purpose:
Purpose:
Was KCTCS vehicle available?
¨ YES ¨ NO
Totals for this page
x .47/mile=
I certify that the above are actual expenses incurred by me while on ofcial travel status and all information is true, correct, and complete to the best of my knowledge.
I hereby authorize KCTCS to direct deposit my reimbursement. I also authorize withdrawal transactions from my account in the event of an overpayment or erroneous deposit.
Totals From
Other Pages
Deduct Lodging
Deposit
(Previously
Reimbursed)
Grand Total
_______________________________________ __________________________________________________
Employee Signature/Date Budget Authority Signature Date
_______________________________________ __________________________________________________
Supervisor Signature/Date Auditor Signature Date
Attach pre-travel out-of-state authorization form, signed by college or KCTCS president
$ 0.00
$ 0.00
$ 0.00
$ 0.00
$ 0.00
0.00
$ 0.00
0.00
$ 0.00
$ 0.00