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.
$ - $ -
$ - $ -
$ - $ -
$ - $ -
$ - $ -
$ - $ -
$ - $ -
$ - $ -
$ - $ -
$ - $ -
$ - $ -
$ - $ -
$ - $ -
$ - $ -
$ - $ -
$ - $ -
$ - $ -
$ - $ -
$ - $ -
Totals for Page 1: $ - $ - Total from Pages 2 - 5: $ -
Supervisor Signature
Clear Fields Employee/Student Signature
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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
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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: # $ -
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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: $ -
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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: $ -
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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: $ -
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