Fillable Travel-expense-report-instate-long AP - FORM - Travel Expense Report - Long Forms.xlsx

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Travel-expense-report-instate-long AP - FORM - Travel Expense Report - Long Forms.xlsx

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***IN‐STATETRAVELINEXCESSOF2WEEKSONLY!|IN‐STATETRAVELINEXCESSOF2WEEKSONLY!|IN‐STATETRAVELINEXCESSOF2WEEKSONLY!***
Travel Expense Report (In-State Long Form)
Phone Number (10 digits):
Depart Return Description Amount
Advance
Registration
Other
(listinnotes
below)
Comptroller'sOfficeUseOnly‐ReviewedandApproved Date
RestrictedFunds/OtherApproval(ifrequired) Date VicePresidentApproval(ifrequired) Date
Notes:(Optionalfieldtoprovideadditionalinformationrelativetothetripandorreimbursement)
Traveler'sSignature Date Supervisor'sApproval Date
TOTALTRAVELEXPENSES
LESSADVANCERECEIVEDAND/OREXPENSESPREPAIDBYUNIVERSITY THAT ARE CLAIMED ABOVE
PublicTransportation
(Air,Bus,Train,etc.)
PerDiem
OtherExpense
DailyExpense
From
To
Date
mm/dd/yyyy
Time
(DayTripsOnly)
Location(City)
Mileage
Rate
(updated
annually)
Mileage
ReimbAmt
Email Address:
INSTRUCTIONS:
Fillouteachapplicablesection.Handwritten,incomplete,orunsigned/datedformswillbereturned.
TravelSummary(mustincludepurpose,
location(s),anddaterange)
COMPTROLLER'S OFFICE
Name of Traveler: Encumbrance & FOAP:
Traveler Vendor A-Number: School/Div & Dept:
COFORM‐REVISED 02/12/2018
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Completed 28 November 2019

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