Wichita State University
Official Hospitality
Candidate Expense Reimbursement Form
Submit completed form to the Office of Academic Affairs, Box 13. Date of
Request:
Position No.: Position Title:
Department:
College:
Dates of Visit: from:
to:
Department Contact: Box#: Extension#:
Candidate Information
Name:
Street Address:
City, State, Zip:
$
$
$
$
$
Signatures
Budget Officer Date
Budget Review Officer Date
Provost
Date
Meals (paid by candidate)
Miscellaneous (taxi, parking, rental car, gas, etc.)
Total Expenses for candidate
Candidate
Revised on 2/14/2018
Itemized Candidate Expenses
Airfare
Round Trip Mileage
x .53.5
Lodging
Paid by Candidate
Direct bill to WSU
$
Date
Reset Form
0