No.
- -
- -
- -
APPROVAL
Approving Signature
Date
Amount
Print Name Title
EMPLOYEE SIGNATURE DATE
Journal Entry Request for Allocation Changes
Account Number
Amount
APPROVAL
Controller's
Office
Please complete this form using your monthly Corporate Travel Card Statement. List the transactions in the order they
appear on your statement and attach the supporting documentation in the same order. If a transaction should be charged
to a different G/L number than listed above, please indicate the transaction line and account to be charged in the bottom
right-hand corner. If any expense listed below relates to future travel, please provide travel date in description.
Transaction Description & Purpose
At
tendees
(if applicable)Vendor
1
m/d
Date
2
3
4
5
6
11
12
Total Lines 1 - 14
14
Employee Travel Card Documentation Form
7
8
9
_____-____________-_______
Last 4 digits of Credit card number
Default General Ledger Account Number Assigned
10
13
Note:
Do not enter charges that have already been re-
allocated online in the Works System.
I certify that all expenses listed on the attached statement are accurate and made in accordance with the Monmouth University Travel, Entertainment and Food Policy
and the University Corporate Card for Travel Policy and Procedures document. I understand that failure to adhere to these policies may require repayment or a
deduction from my pay for undocumented or unallowable charges and may result in revocation of my card or other disciplinary actions.
I certify that I have reviewed this Employee Travel Card Documentation Form for compliance
with the Monmouth University Travel, Entertainment and Food Policy, including the Business
Purposes, Attendees, Supporting Documents attached, and Account Distribution.
