Purpose
(What & Why?)
Receipt Date
GL Account Number
Vendor & Location
Mileage
(# of miles)
Meals/Per Diem
(Who attended?)
Other Expenses (Describe)
TOTALS
.40 x
=
.40 x
=
.40 x
=
.40 x
=
.40 x
=
.40 x
=
.40 x
=
.40 x
=
TOTALS
EXPENSE REPORT
Name:
Address:
VP Signature:
Business Office Approval:
Signature:
CHECKLIST:
Answer questions: who, what, where, when, why
List all who attended meals
List each receipt as a separate line item & attach original receipts/documents
List correct GL account number
NOTES:
Original itemized receipts (including food receipts) must be attached
.
Submit expense report within 10 days of receipt date &/or return of trip
Mileage for personal vehicles ONLY is paid at a rate of 40/mile.
Gas is ONLY paid for use of RMC vehicles or approved rental vehicles.
Per Diem rate is $39/day (overnight stay required)
.
Expenses over 60 days old CANNOT be reimbursed per IRS rules.
Please make & keep a copy for your records.
Get approval signature of VP/Division Chair (upper right corner)
LESS TRAVEL ADVANCE IF APPLICABLE
CHECK IF GAS CHARGED ON RMC FUEL CARD DUE TO: Individual RMC
revised 7/18/18 Reports must be received COMPLETED in the Business Office by the 20th in order to be paid on the 1st working day of the following month. Reports received after the 20th will be paid on the 1st of the next following month.
Student
Faculty/Staff
Other
0
$ 0.00
0
$ 0.00
0
$ 0.00
0
$ 0.00
0
$ 0.00
0
$ 0.00
0
$ 0.00
0
$ 0.00
$ 0.00
$ 0.00
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