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 Ofce 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 ofcial 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
