Fillable Revised TR1 Tech Employee Final June TR1.xls

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Revised TR1 Tech Employee Final June TR1.xls

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Country of origin: US
File type: PDF

U.S.A. forms for Arkansas Tech University

BROWSE ARKANSAS TECH UNIVERSITY FORMS

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PO Number(s)
DEPARTMENT: Index:
Name of Payee:
OFFICIAL STATION (Rsvl, OZ, ATCC, etc.):
Home Address:
DATE NAME OF TOWN VISITED
Common
Carrier
(airline, train, etc)
Lodging Meals
Meal
Designation
(B,L,D)
Incidentals
Incidental
Code
(see below)
Total Per
Day
FROM TO
MILEAGE
DRIVEN
AMOUNT
CLAIMED
0.42
0.42
0.42
0.42
0.42
0.42
0.42
0.42
0.42
0.42
0.42
0.42
0.42
0.42
SUB-TOTALS TOTALS FOR MILEAGE 0.42
I certify that the person listed below provided lodging to me at no cost while I traveled on University business.
Name: Address:
City, State, Zip: Telephone:
Signature of Traveler: :
Signature of Supervisor: :
Revised February 2017 Approved by DFA 2-20-17
Lodging Provided Statement-To be completed if lodging is provided at no cost to the University
For travel performed as indicated on this travel reimbursement form, 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 this travel reimbursement form and if the
travel reimbursement 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.
Incidental Codes
If Incidental Code 6 is used, explain here :
Signature of Travel Administrator:
SUB-TOTAL
MILEAGE CLAIMED
Title of Supervisor:
1. Taxi
2. Parking Fee
3. Registration Fee
4. Emergency Car Repairs
5. Meals for State Guests
6. Other (Explain Above)
Arkansas Tech University
TRAVEL EXPENSE REIMBURSEMENT FORM, TR-1E
Personal Vehicle Mileage Reimbursment
DETAILED EXPENDITURES OTHER THAN MILEAGE
Private Vehicle License Number (Only necessary if claiming mileage reimbursement ):
Date
Check here to pickup your check in the
Disbursing Office located in Browning Hall.
0.00
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0.00
.42
0.00
0.00
0.00
$ 0.00
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Revised TR1 Tech Employee Final June TR1.xls

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Completed 25 May 2020

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