Travel Services
203 W O St Young Building East End
Russellville, AR 72801
Actual Expense Travel Certification Form
For travel performed as indicated on the attached travel credit card log or invoice, the payment of actual
lodging expense is authorized because lodging within the Federal Travel Directory rates was
unavailable or unfeasible for the area in which the travel occurred. I certify that the travel was
completed as indicated on the attached document(s) and if the travel expense is
for a volunteer, a non‐state employee, and/or official guest(s), to my knowledge, that person will not be
reimbursed these same travel expenses from any other source.
Travel Reimbursement Approved By:
Date Travel Administrator