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Moving Expense (University of Dayton)

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University of Dayton
Moving Expense Form
Amount Paid Reimburse-
to Vendor by ment to
the University Employee Totals
Cost of Moving Household Goods*
Moving Company
Self -Move (Truck Rental, Containers, etc.)
Other (Explanation required)
Cost of Traveling to New Location
Airfare*
Meals**
Lodging*
Mileage* _______miles X $0.000 per mile
Other (Explanation Required)
Pre-Move Househunting Trip**
Airfare
Meals
Lodging
Mileage _______miles X $0.000 per mile
Other (Explanation Required)
Moving Expense Totals
*Deductible Moving Expenses - (Nontaxable Fringe Benefit)
**Non-Deductible Moving Expenses - (Taxable Income Included on W-2 Form)
Explanation for Other Expenses
This form must be completed and receipts must be provided before reimbursement can be made.
Employee Name and UD ID # Employee Signature
Local Address Date
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Moving Expense (University of Dayton)

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Completed 21 July 2020

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