Fillable Travel Reimbursement Form 2020 (Technical College of the Lowcountry)

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Travel Reimbursement Form 2020 (Technical College of the Lowcountry)

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REIMBURSEMENT CLAIM FOR OFFICIAL TRAVEL
Name:____________________________________________
Address:__________________________________________
DEPT:_______________________________
ACCOUNT CODE:______________________
City/St/Zip:_______________________________________ Mileage Rate:_______ ($0.535 OR $0.575 per mile)
*The higher rate is used only when a state car is
requested, but unavailable.
DATE
ARRIVE
DEPART
TIME
DESCRIPTION
A
AUTO
MILES
B
MILEAGE
COST
C
OTHER
FARES
E
LODGING
MISC.
Subtotals
TOTAL CLAIM
Certification: I hereby certify or affirm that the above expenses were actually incurred by me as necessart traveling expense s
in the performance of my official duties; any meals or lodging included in a conference or convention registration fee have
been deducted from this travel claim; and that this claim is true and correct in every material matter and conforms with the
requirements of State laws, rules, and regulations.
Column F: Misc Expenses
(list & attach receipts)
Signatures
Claimant:__________________________
Approver:__________________________
0.535
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
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Travel Reimbursement Form 2020 (Technical College of the Lowcountry)

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Completed 4 October 2020

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