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Today’s Date: A&S Travel Reimbursement Justification Form
Traveler’s Name:
Organization Name (if applicable):
Phone Number: __________________________________
Email: _______________________________________
Conference Name: _____________________________________
Location: _________________________________________ Travel Dates: __________________________
Benefit of Conference to FAU:
Reimbursable Items (check all that apply):
Paid registration receipts showing Traveler as the registrant.
Itemized Hotel receipts showing Traveler as the guest.
Paid airline tickets showing Itemized Itinerary and Traveler as the passenger.
Boarding passes for Traveler if requesting airline ticket reimbursement
Car rental receipts or Mapped mileage if using your own vehicle
Gas showing price, gallons, and toll receipts. (Pre-paid receipts not allowed)
Train/Bus ticket receipt
Proof of Spirit Airlines payments via card or bank statement
Copy of CISI Card (International Travel Only)
Awarded Up To
Initiator: Signature & Date:
Updated 11/21/2018
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