HOPE COLLEGE TRAVEL REIMBURSEMENT FORM

 

 

Payable to:_______________________________________________________________________

Name    and    Department

 

Hope ID Number:_________________________________________

Date of Absence:__________________________________________

 

 

 

Location and Purpose of Trip:___________________________________

 

__________________________________________________________

 

 

 

Travel:

 

Personal Auto _________ miles @ $.45 per mile

Total $__________________

 

 

Actual Cost of economy airfare, rail, or bus
(Attach receipts)

Total $__________________

 

 

Lodging:

 

Number of days _________ X $___________ (rate)
(Attach receipts)

Total $__________________

 

 

Meals:
Attach Receipts

 

Attach Receipts

 

 

Total $__________________

 

 

Other (please specify)

 

____________________________________________________________

Total $__________________

____________________________________________________________

 

 

 

Please check one:

 

_____ Travel Reimbursement

 

_____ Travel Advance

Grand Total $__________________

 

 

Fund (5 digits)/Account (4 digits) to be charged: ___ ___ ___ ___ ___ - ___ ___ ___ ___


Signature of Employee:_______________________________________________________________

 

 

Approved by:___________________________________________________________________________

Department Chairperson, Divisional Dean, Provost, or Immediate Supervisor

 

 

 

To Assure Proper Processing by Business Services:

 

1. Please indicate if your request is for reimbursement of travel already completed or an advance for anticipated travel.

2. For Travel Reimbursement: Personal receipts for meals, lodging, airfare, rail, or bus are to be attached.

3. For Travel Advances: You are required to reconcile your expenses within 20 days after the completion of your travel.
 An Advance Reconcilation Report will be provided along with your check by the Business Services Office.