Fillable Travel Reimbursement Form (Clovis Community College)

Fill Online, Printable, Fillable, Blank Travel Reimbursement Form (Clovis Community College) Form

Use Fill to complete blank online CLOVIS COMMUNITY COLLEGE pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

Travel Reimbursement Form (Clovis Community College)

On average this form takes 13 minutes to complete

The Travel Reimbursement Form (Clovis Community College) form is 1 page long and contains:

  • 0 signatures
  • 0 check-boxes
  • 53 other fields

Country of origin: US
File type: PDF

U.S.A. forms for Clovis Community College

BROWSE CLOVIS COMMUNITY COLLEGE FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
Updated 08/14/2018
TRAVEL REIMBURSEMENT REQUEST FORM
Traveler Information
Name:
Date:
C#:
Department:
CCC Mailbox #: Clovis, NM 88101
Trip Information
Departure Date | Time
Return Date | Time
Travel From (City, State)
Travel To (City, State)
Itemized Expenses
Per Diem: ☐ Yes ☐ No If “No” actual expenses will be reimbursed and all receipts must be provided with this form.
Expenses Paid by Traveler
Total
Transportation/Travel
Commercial Air Travel
Taxi/Shuttle/Car Service
Car Rental
days
Personal Auto Mileage
miles @
per mile
Registration Fees
Lodging
nights
Meals
days
Parking Fees/Tolls
Other (i.e. baggage & tips)
Sub-Totals
TOTAL
Less amount Pre-Paid by CCC
Balance
Less Travel Advance to Employee
($ Balance due CCC from Employee) or Balance Due to Employee
Traveler Signature Date
These expenses have been occurred by me in the conduct of CCC business. I understand I cannot claim reimbursement for expenses I have been reimbursed for, or
that I expect to be reimbursed in the future by another source.
Approvals
Director/Department Head Signature:
Date:
Director of Finance Signature
Date
Chief Financial Officer Signature
Date
Purchasing Signature
Date
*Pre-paid expenses include amounts charged to a P-Card as well as amounts paid through check requests and advances. Copies of receipts for all pre-paid expenses
must be attached to this form.
$ 0.00
$ 0.00
$ 0.00
$ 0.45
0.00
$ 0.00
$ 0.00
$ 0.00
$ 0.00
$ 0.00
$ 0.00
$ 0.00
$ 0.00
$ 0.00
(Business Office Use Only)
Check # _______________________________
$ 0.00
$ 0.00
$ 0.00
INSTRUCTIONS │ TRAVEL REIMBURSEMENT FORM
**
The form must be completed using Adobe Acrobat**
1. Enter the Traveler’s Information
a. Name
b. Date Reimbursement Form is being completed
c. Traveler’s “C” number
d. Traveler’s department
2. Enter the Trip Information
a. Enter the departure date (i.e. 7/13/2018) and departure time (i.e. 8:45 am)
b. Enter the return date (i.e. 7/19/2018) and the return time (i.e. 4:00 pm)
c. Travel From: Indicate the originating city and state you traveled from
d. Travel To: Indicate the destination city and state you traveled to
3. Itemized Expenses
a. Check Per Diem, Yes or No: If “No”, actual expenses will be reimbursed
4. Complete the Expenses Pre-Paid by CCC and Expenses Paid by Traveler
a. Expenses Pre-Paid by CCC
i. Pre-Paid expenses include amounts charged to a P-Card as well as amounts paid through check
requests and advances.
b. Expenses Paid by Traveler
i. All travel expenses incurred by the Traveler that have not been pre-paid nor reimbursed.
5. Enter the Less Travel Advance to Employee amount.
a. If you received a Travel Advance for this travel, enter the amount here.
b. If you DID NOT receive a Travel Advance, do not enter an amount. Leave it at $0.00.
6. Traveler needs to Sign and date.
7. Approvals │ The Travel Application Request Form must be signed by the:
a. Director/Department Head
b. Director of Finance
c. Chief Financial Officer (CFO)
d. Purchasing – for processing purposes only
Supporting Documentation │Supporting documentation must be submitted with all Travel Reimbursement Forms.
Documentation includes all receipts for actual expenses occurred, to include any pre-paid expenses. If Per Diem is the
method of reimbursement, receipts for lodging and meals are not necessary; however, receipts for all other expenses
incurred are required.
Standard Email Communications | All standard email communications will be sent from purchasing@clovis.edu
.
1. Upon receipt of a Travel Reimbursement Form, the Purchasing Department will send out the following email
communication: (Email to Traveler with a CC to the Department Head)
Subject: Travel Reimbursement Form
[Requestor Name],
We have received your Travel Reimbursement Form. Please allow up to 48 hours to review and complete your
request. Please note that any requests for additional information may delay the process.
Thank you,
[Purchasing Signature Block]
2. Upon approval of the Travel Reimbursement Form, the Purchasing Department will send out the following
email communication: (Email to Traveler with a CC to the Department Head)
Subject: Travel Reimbursement Approved
[Requestor Name],
Your Travel Reimbursement request has been approved. You should receive payment in the amount of $
__________ within 48 hours. Feel free to contact our office should you have any questions or need additional
assistance.
Thank you,
[Purchasing Signature Block]
Resources │ The following resources are available:
Travel Policy │ Guidelines for the application, submission, and reimbursement if travel. (Pathway Portal)
Travel Process │ A visual workflow of the completion and submission of travel requests. (Purchasing Office)
Contact: Business Office (4038)
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

Travel Reimbursement Form (Clovis Community College)

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 24 July 2020

Message

View Audit Log
Print With Audit Log
Duplicate Document