Fillable Tei Reimbursement Form.r1.ady.042319 TEI Reimbursement Form.pdf (University of Wyoming)

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Tei Reimbursement Form.r1.ady.042319 TEI Reimbursement Form.pdf (University of Wyoming)

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Expense'Reimbursement'Form'
Revised'April 23, 2019'
Participant'
TEI'Group!
!
Travel'
Beginning!Destination!!
Date!and!Time!!
Ending!Destination! !
Date!and!Time!!
Mileage!Reimbursement:! Miles!Traveled!
License!Plate!State!and!Number!
Airfare! $! ! Taxi! $! ! ! ! Parking! $!
(Please!attach!receip ts)! !(Please!attach!rec eipts )! (Please!attach!receip ts)!
Meals'and'Lodging'
Meals!Expense! $! Lodging!Expense! $!
(Please!attach!rec eipts )! (Please!attach!receipts)!
Other'Expenses'
P-12!Substitute!Expense $! Date!
P-12!Teacher!Stipend $! Date!
UW!Faculty!Overload!Stipend $! Semester/Term!
UW!Faculty!Release!Adjunct!Backfill! $! Semester/Term!
UW!Faculty!Release!Grad!Asst.!Backfill! $! Semester/Term!
UW!Faculty!Research/PD! $! Semester/Term!
Payment'Information'
Payee'!
Mailing'Address!
City,'State,'Zip'!
Phone Number
Signature! Date!
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Tei Reimbursement Form.r1.ady.042319 TEI Reimbursement Form.pdf (University of Wyoming)

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Completed 16 July 2020

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