Employee Name: Today's Date:
Travel Destination: Travel Date(s):
Purpose of Travel (briefly explain where you went and why) -
ttach Meeting Agenda if Availabl
Is any expense directly paid by another agency? (hotel, meals or transportation) Yes No
Is any expense reimbursable for another agency? Yes No
If so, who?
What is their method of reimbursement?
Professional development includes a broad range of topics and activities that expands your professional knowledge,
competence, skills, or effectiveness.
Is this travel for professional development?
Yes No
Employee Signature Date
Supervisor Signature Date
HR Initials
(Verification of Taskstream entry for PD)
Date
Program to be charged/GL account number Amount
ccountant Initials (Ok on Program to Charge/Line Item)
Please provide the total cost of the training, a narrative explaining the nature of the professional development, what you
learned, how it will benefit
ou at work, and s
ecificall
, how it will affect student success outcomes.
Bay Mills Community College
Travel Expense Statement
Attach copies of reimbursement documentation
Actual Expense Per Diem Allowance
Professional Development Activities
You need to enter the professional development activity in Taskstream before completing this form: Taskstream Link
I certify that this statement, the amount claimed and the attachments are true, correct and complete to the best of
my knowledge and belief, and that payment for the amount claimed has not been received.
