Fillable Travel Expense Form NonEmployee 04192018 Secured Travel Expense Statement

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Travel Expense Form NonEmployee 04192018 Secured Travel Expense Statement

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Country of origin: US
File type: PDF

U.S.A. forms for West Georgia College

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Page 1 of 3
Revised 01/14/2015
City:
Purpose of Trip(s)
Meals
University of West Georgia
Travel Expense Statement - NON EMPLOYEE
Name:
Street:Home
Approval Authority
Approval Authority
Total
Total
Description
Total Meals and Lodging
Other Expenses (Page 2)
Total Expenses
Lodging
LocationFrom TotalDaily Rate # DaysTo
To
Email:
Title:
State:City:Street:
County:
State: Zip:
Zip:County:
Office Phone:
Total Expenses
Amount Due To/From NonEmployee
From
Office
To:Agency/Division: Travel From:
Registration Fee
Description
Date
Date
Not Eligible: Meals not occuring within eligible depart and return times or meals included in registration fees.
In State Regular: B/L/D: 6.00 / 7.00 / 15.00 (High Cost Limited to: Chatham, Cobb, Dekalb, Fulton, Glynn,
In State High Cost: B/L/D: 7.00 / 9.00 / 20.00 and Richmond Counties)
Out of State: Enter daily per diem rate:
If you have an unusual meal expense, use the miscellaneous expenses section on the next page.
Meal Code Descriptions:
Select a code in the
dropdown box located to
the left of each meal.
NE -
REG -
HGH -
OS -
Enter amount of Travel Advance:
Less Travel Advance
Amount
Date
Depart
Time
Return
Time Total
Breakfast
Code Location Amt
Dinner
Code Location Amt
Lunch
Code Location Amt
Fund: Dept: Program: Class: Project ID:
Print Form
Next Page
Next Page
$ .00
$ .00
GA
GA
$ .00
$ .00
Page 2 of 3
Revised 01/14/2015
Location
I certify that use of a personal vehicle was more advantageous than a state or commercial rental.
Total State Use Miles
Date Origin Points Visited Begin Miles
Total
Description
Total
Total Other Expenses
Commercial Transportation
Date Reason for Call
End Miles
Personal
Miles
State Use
Miles
Select type of personal vehicle:
I have an assigned state car on a permanent basis Automobile Motorcycle Airplane
If you shared transportation, enter person(s) traveled with:
Total
Explain any expenses that are unusual or exceed established limits:
Total
Total
Personal Vehicle Mileage
Voice/Data Communications (Telephone Calls, Internet Charges)
Date
Amount
AmountDate
Parking, Tolls, Porterage
Miscellaneous Expenses
Gasoline for Rental Vehicle
Yes No
Description
Description
End Date
OriginType of Transportation
Begin Date
Destination
Amount
Mileage Rate $
Person Called
Date
Amount
Amount
Commute
MilesDestination
Previous Page
Previous Page
$ .00
Clear All Content
Print Form
$ .00
0.18
Page 3 of 3
Revised 01/14/2015
651160
651107
727110Registration Fees
Amount Due To/From Employee:
Phone:Name:
Employee ID Terms
Invoice No. Voucher No.
Effective Date Pay Date Location
Reference No.
Mileage
Vendor ID
Invoice Date
Description Check #
Business Unit
651510
PeopleSoft Loc
Handling Code Acct Template
Budget Year
DateProcessed By:
Travel From:
This page for Accounting use only
651130Meals
Acct Date
651140Lodging
651170Other (Parking, Tolls, Porterage)
651120Commercial Transportation Air
771100Voice/Data Communication Svcs
125004Travel Advance
651110Gasoline for Rental Vehicle
Travel between State Orgs
Money Owed
to
Gross $
Voucher Date
Check Date
Non-Employees
Mileage
Commercial Transportation
Subsistence
Miscellaneous Travel Expenses
Reimbursable Expenses
DateEntered By:
Account Line Description AmountClass
Line Description Account DeptFund Program Class Project Amount
651150Miscellaneous Expenses
Automobile Rental
Common Carrier
$ .00
0.00
0.00
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Travel Expense Form NonEmployee 04192018 Secured Travel Expense Statement

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Completed 15 February 2020

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