Business Purpose:
Kind*
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
Date
m/d
- -
- -
- -
- -
- -
Print Name Title
Approving Signature Date
- -
Travel Advance
(See Employee
Statement)
APPROVAL
Lodging
Deduct Travel Advance Previously Received
DATE
Accumulated Totals Brought Forward from Line 15 - To Be Reimbursed, on previous pages
Grand Total Expenses To Be Reimbursed (Line 16 & 17) NO Corrections on Grand Total Expenses
Home address for remittance purposes:
EXPENSE SUMMARY FOR REIMBURSABLE ITEMS
Description of Expense-If mileage
show starting point & destination-
If meals, show purpose & attendees
OtherAmount Amount
to be
Accounts
Total Expenses To Be Reimbursed - This Page Only (Line 15) / Travel Advances (if applicable)
Location: Dates:
EMPLOYEE SIGNATURE
Balance (A Minus Figure indicates a Balance Due to University)
Kind* [PA] - Private Auto [UV] - University Vehicle [RV] - Rental Vehicle [PC] - Public Carrier
Page _______ of _______
Employee Travel Expense Voucher
I certify that all expenses listed on the attached statement are accurate and made in accordance with the University Travel, Entertainment and Food Policy. If this is a request for an
advance, I understand that I must report my expenses within 20 business days of my return from travel. If I fail to do so, or I have missing or unsatisfactorily documented items
reported on this form, I understand that I will be required to reimburse the University or authorize the University, at its option, to deduct the amount from my pay.
I certify that I have reviewed the contents of this Expense Voucher for compliance with the
Monmouth University Travel, Entertainment and Food Policy, including the Business Purpose,
Attendees, the Supporting Documents attached, and the Account Distribution.
