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					                                                                                                       University of Louisville                                                   Total Reimbursement
                                                                                                      Travel Expense Voucher                                                  $                     -
                                                                                                                    Date                                 Employee
                                                              Vendor Number:                                        Prepared:                            Student    ID#
                                                              Employee/Student Name:                                                                    Department:
                                                              Workstation:                                                                              Department Contact
                                                              Residence Address:                                                                        Name:
                                                              City/State/Zip Code:                                                                      Phone:

                                                                       Dates    Departure Date:                                                         Return Date:
                                                                   of Travel:   Departure Time:                                                         Return Time:

                                                                      Travel    Travel From:                                                            Travel To:
                                                                 Destination:   Travel From:                                                            Travel To:
                                                                                Travel From:                                                            Travel To:
                                                                      Purpose of Travel:
                                                                       Complete pages 2 through 5 before entering information in this section. Shaded areas will automatically populate.
                                                               Speed Type               Account Code                 Total Charges        Total to be         Authorized Signature             Date Signed
                                                                                                                                         Reimbursed
                                                                                                                    $           -    $             -
         PRINTING TIP: Be sure to print all tabs containing




                                                                                                                    $           -    $             -
           information. Manually select all tabs or select




                                                                                                                    $           -    $             -
                                                                                                                    $           -    $             -
                                                                                                                    $           -    $             -
                 'Entire Workbook' when printing.




                                                                                                                    $           -    $             -
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                                                                                               Totals for Page 1:   $           -    $             -                 Total from Pages 2 - 5:   $        -


                                                                                                        Supervisor Signature

                                                                   Clear Fields                   Employee/Student Signature

D:\Docstoc\Working\pdf\5b0e87a8-e009-49b1-b15a-95592229b5f1.xls                                                                                                                                          Page 1 of 6
                                                                         University of Louisville - Travel Expense Voucher
                                                                                                Meals
                                                     Employee/Student Name: 0
                                                                       Department: 0
                                           Dates of Travel             Departure Date: 1/0/1900                                            Return Date: 1/0/1900
                                                                       Departure Time: 12:00 AM                                            Return Time: 12:00 AM
Meals - Use a separate line for each day.
                                                                   Maximum             Breakfast   Lunch       Dinner                ACCOUNT CODE
    DATE                 STATE                  CITY               Daily Rate             See Chart Below for Rates                Select Code from List                 AMOUNT
                                                                                                                                                                     $              -
                                                                                                                                                                     $              -
                                                                                                                                                                     $              -
                                                                                                                                                                     $              -
                                                                                                                                                                     $              -
                                                                                                                                                                     $              -
                                                                                                                                                                     $              -
                                                                                                                                                                     $              -
                                                                                                                                                                     $              -
                                                                                                                                                                     $              -
                                                                                                                                                                     $              -
                                                                                                                                                                     $              -
                                                                                                                                                                     $              -
                                                                                                                                                                     $              -
                                                                                                                                                                     $              -
                                                                                                                                                                     $              -
                        Meal Reimbursement Chart                                                                                                     Grand Total:    $              -
         Travel must be authorized and include overnight lodging.
         Traveler must depart by and return after the times listed.
                      Breakfast            Lunch                Dinner                535113 In-state Travel Misc. Expenses                  Totals for this page:   $              -
  Departure must                                                                      535213 Out-of-state Travel Misc. Expenses                                      $              -
                        6:30 AM               11:00 AM                 5:00 PM
  be prior to:                                                                        535313 International Travel Misc. Expenses                                     $              -
  Return must be                                                                      535413 Student Travel Misc. Expenses                                           $              -
                        9:00 AM               2:00 PM                  9:00 PM
  after:                                                                              535553 Other Non-Employee Travel Misc. Expenses                                $              -
              Do not include any meals included in registration fees                                                                    Grand Total for this page:   $              -

Select the state and city of travel above to determine the maximum per diem for meals. Refer to
the chart below to determine reimbursement rate per meal.
Departments may choose to reimburse at a lower per diem rate.
For Alaska, Hawaii, Canada and US Territory Possessions: Calculate rate per meal at 20% for breakfast, 30% for lunch and 50% for dinner.
     $46             $51           $56            $61             $66                $71          Maximum per Day
      $9             $10           $11             $12            $13                $14          Breakfast
      $14            $15           $17             $18            $20                $21          Lunch
      $23            $26           $28             $31            $33                $36          Dinner


   D:\Docstoc\Working\pdf\5b0e87a8-e009-49b1-b15a-95592229b5f1.xls                                                                                                         Page 2 of 6
                                                                      University of Louisville - Travel Expense Voucher
                                                                                     Private Auto Mileage
                                                    Employee/Student Name: 0
                                                                  Department: 0
                                         Dates of Travel          Departure Date: 1/0/1900                                        Return Date: 1/0/1900
                                                                  Departure Time: 12:00 AM                                        Return Time: 12:00 AM
Private Auto Miles/Meals - Use a separate line for each day.
                                                                                   PRIVATE AUTO MILES         IRS
    DATE                 ACCOUNT CODE (Select Code from List)                         Enter Mileage           Rate            AMOUNT
                                                                                                              0.555   $                   -
                                                                                                              0.555   $                   -
                                                                                                              0.555   $                   -
                                                                                                              0.555   $                   -
                                                                                                              0.555   $                   -
                                                                                                              0.555   $                   -
                                                                                                              0.555   $                   -
                                                                                                              0.555   $                   -
                                                                                                              0.555   $                   -
                                                                                                              0.555   $                   -
                                                                                                              0.555   $                   -
                                                                                                              0.555   $                   -
                                                                                                              0.555   $                   -
                                                                                                              0.555   $                   -
                                                                                                              0.555   $                   -
                                                                                                              0.555   $                   -
                                                                                              Grand Total:            # $                 -



                   535113 In-state Travel Misc. Expenses                              Totals for this page:           #   $               -
                   535213 Out-of-state Travel Misc. Expenses                                                          #   $               -
                   535313 International Travel Misc. Expenses                                                         #   $               -
                   535413 Student Travel Misc. Expenses                                                               #   $               -
                   535553 Other Non-Employee Travel Misc. Expenses                                                    #   $               -
                                                                                 Grand Total for this page:           #   $               -




    D:\Docstoc\Working\pdf\5b0e87a8-e009-49b1-b15a-95592229b5f1.xls                                                                                       Page 3 of 6
                                                  University of Louisville - Travel Expense Voucher
                                                                  Lodging Expenses
                                     Employee/Student Name: 0
                                                   Department: 0

Lodging - Use a separate line for each day of lodging.
                                   ACCOUNT CODE
      DATE                         (Select from List)                    EXPLANATION (Optional)                       Room and Room Taxes Only




                         535111 In-state Travel Hotel                                     Totals for this page:   $                         -
                         535211 Out-of-state Travel Hotel                                                         $                         -
                         535311 International Travel Hotel                                                        $                         -
                         535411 Student Travel Hotel                                                              $                         -
                         535551 Other Non-Employee Travel Hotel                                                   $                         -
                                                                                     Grand Total for this page:   $                         -




 D:\Docstoc\Working\pdf\5b0e87a8-e009-49b1-b15a-95592229b5f1.xls                                                                     Page 4 of 6
                                                          University of Louisville - Travel Expense Voucher
                                                      Registration, Submission Fees & Miscellaneous Expenses
                      Employee/Student Name: 0
                                    Department: 0

         Registration and Submission Fees
                                             ACCOUNT CODE
                 DATE                        (Select Code from List)                  EXPLANATION                                 AMOUNT




         Miscellaneous Expenses: Tips, Taxi Fare, Bus Fare, Subway Fees, Parking Fees, etc.
         Use a separate line for each expense.
                                        ACCOUNT CODE
               DATE                    (Select Code from List)                          EXPLANATION                               AMOUNT




                                   535113 In-state Travel Misc. Expenses                              Totals for this page:   $            -
                                   535213 Out-of-state Travel Misc. Expenses                                                  $            -
                                   535313 International Travel Misc. Expenses                                                 $            -
                                   535413 Student Travel Misc. Expenses                                                       $            -
                                   535553 Other Non-Employee Travel Misc. Expenses                                            $            -
                                   559000 Business Meals                                                                      $            -
                                   Personal Day, No Reimbursement
                                   552100 Registration                                                                        $            -
                                   552150 Student Registration                                                                $            -
                                   552500 Submission Fees                                                                     $            -
                                                                                               Grand Total for this page:     $            -
D:\Docstoc\Working\pdf\5b0e87a8-e009-49b1-b15a-95592229b5f1.xls                                                                                Page 5 of 6
                                                 University of Louisville - Travel Expense Voucher
                                                        Air Fare and Rental Car Expenses
                                                           (Use Only if Expenses Paid by Traveler)
           Employee/Student Name: 0
                          Department: 0

  Air Fare - List Only if Paid by Traveler
                                   ACCOUNT CODE
        DATE                    (Select Code from List)                         EXPLANATION (Optional)                          AMOUNT




                           535110 In-state Travel Air                                                Totals for Air Fare:   $            -
                           535210 Out-of-state Travel Air                                                                   $            -
                           535310 International Travel Air                                                                  $            -
                           535410 Student Travel Air                                                                        $            -
                           535550 Other Non-Employee Travel Air                                                             $            -
                                                                                                           Grand Total:     $            -

  Rental Car - List Only if Paid by Traveler
                                  ACCOUNT CODE
       DATE                     (Select Code from List)                         EXPLANATION (Optional)                          AMOUNT




                           535112 In-state Travel Rental Car                                     Totals for Rental Car:     $            -
                           535212 Out-of-state Travel Rental Car                                                            $            -
                           535312 International Travel Rental Car                                                           $            -
                           535412 Student Travel Rental Car                                                                 $            -
                           535552 Other Non-Employee Travel Rental Car                                                      $            -
                                                                                                           Grand Total:     $            -


D:\Docstoc\Working\pdf\5b0e87a8-e009-49b1-b15a-95592229b5f1.xls                                                                      Page 6 of 6

				
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posted:10/26/2011
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