Travel Expense Report
Name Employee Signature:
Reason for Travel Date:
Dates of Travel From xx/xx/xxxx To xx/xx/xxxx Authorization:
Department Date:
Job #
Client/Job/Project
Total Reimbursement Due 656.49
Incurred Expenses
Taxi, Bus, Miles (personal Mileage Conference/Seminar
Date Reason for Expense Airfare Train Lodging Car Rental Gas, Oil car) Reimbursement Meals, Tips Parking Fees Miscellaneous Total
10/14/2011 XYZ Conference 429.36 12.00 152.68 0.00 52.45 10.00 656.49
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
Total Expenses 429.36 12.00 152.68 0.00 0.00 0.00 0.00 52.45 10.00 0.00 0.00 656.49
Pre-Paid Expenses
Taxi, Bus, Miles (personal Mileage Conference/Seminar
Date Reason for Expense Airfare Train Lodging Car Rental Gas, Oil car) Reimbursement Meals, Tips Parking Fees Miscellaneous Total
0.00
0.00
0.00
0.00
0.00
Total Pre-Paid 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Total Reimbursement 429.36 12.00 0.00 0.00 0.00 0.00 52.45 10.00 0.00 0.00 656.49
© Copyright 2011 Docstoc Inc.
Instructions for Travel Expense Report:
General:
This form is for authorized business travel only. Travel that has not been authorized, or personal travel while on an authorized business
trip, will not be reimbursed without review by management and should not be included on this form.
Please list actual amounts for each item listed (if applicable). Totals will calculate automatically. If you enter information in error,
highlight the cell and re-enter the information. Do not "delete" since any formula in that cell will also be deleted.
Receipts should be stapled to this expense report form (if submitted hard copy) or scanned and sent as attachments by e-mail. Mileage
is reimbursed at the standard IRS rate of $.55/mile. After they have been approved by the appropriate manager, submit forms to the
accounting department by interoffice mail in a "Confidential" envelope, or e-mail them directly to travelprocessor@ourcompany.com.
Expense reports must be submitted within 30 days of the trip completion. Reimbursement checks are processed the 15th and 30th day of
the month and are mailed to the employee’s home address.
Information Block:
Name: Print or type your full name as it appears on your paycheck
Reason for Travel: The purpose of your trip (e.g. attend a conference, training, client visit, etc.)
Dates of Travel: From the departure date for business travel to the date you returned
Department: Your current department
Job #: Fill in the job number of a billable project (if any)
Client/Job/Project: List here (if any)
Total Reimbursement Due: Leave blank. This will automatically be populated when the form is completed.
Incurred Expenses
The first section of the spreadsheet is for incurred expenses only. List actual amounts that correspond to receipts. Do not round
amounts up or down.
Date: Actual date of expenditure
Reason for Expense: Reason for travel that day. This may change if you were in different locations with different purposes during
the length of one trip.
Airfare: Cost of airfare, including any baggage fees. Do not include cost of carry-on meals or snacks.
Taxi, Bus, Train: Any cost for ground transportation, including tips for drivers
Lodging: Cost of accommodations, including any taxes and fees, such as charges for internet access
Car Rental: Total cost of car rental, including taxes and fees. Additional insurance, model upgrades, or charges for extended rental
for personal use are not reimbursed.
Gas, Oil: Cost of rental car fuel and any other expenses, like oil or washer fluid, that are necessary for the safe operation of the vehicle
Miles: If you used your personal vehicle for transportation, enter the number of miles from your starting location and return. Do not
include any miles used for personal travel during your time on business travel.
Mileage Reimbursement: Do not write in this field. Reimbursement is automatically calculated using the standard IRS
reimbursement of $.555 per mile (55.5 cents per mile).
Meals, Tips: Any meals, tips, and other food /snacks purchased while on your trip
Parking: Any fees paid for public parking (not including hotel parking charges)
Conference, Seminar Fees: Cost of participation in conferences, workshops, seminars, etc.
Miscellaneous: Any out-of-pocket, travel-related expenses not included in the other categories. Include receipt(s) and mark
"Miscellaneous" on the top.
Pre-Paid Expenses
This section is for any pre-paid expenses, such as conference fees, per diems, and cash advances. Please enter any amounts that were
paid or funds that were released prior to travel. Failure to report any pre-paid expenses may result in an over-reimbursement. Put in
the appropriate columns.
Totals: Totals will calculate automatically for each section. Total reimbursement will post at the top in the General Section.
Signature and Date Section
Employee must sign and date the expense form, then must submit the form to the manager authorized to approve travel expenses.
He/she must sign and date the form as well.
The manager will then submit the form and receipts to the appropriate department for processing.
© Copyright 2011 Docstoc Inc.