Brockport Auxiliary Service Corporation - Travel Expense Report / Request for Reimbursement Instructions:
1) Complete all areas of this
NAME: TRAVEL $ Cost Center Account for travel expense spreadsheet and save as a file.
2) Print the completed copy of the
from to MISCELLANEOUS $ Cost Center Account for misc. expense spreadsheet, attach receipts, sign and
Travel Dates:
obtain supersvision signature.
3) Submit all paperwork to
Purpose of Trip:
Accounting.
Destination: 4) Send an electronic copy of the file
Mileage to the BASC Exec. Admin. Assistant.
Tolls / Taxi Miscellaneous Total Credit
Hotel Meals Tips Air / Rail Total Personal
miles rate Parking / Bus explain below *
Date $ Card
& Location $ 0.555
Day 1 $ 0.56 $ - $ -
Employee Paid
Company Card $ -
Day 2 $ 0.56 $ - $ -
Employee Paid
Company Card $ -
Day 3 $ 0.56 $ - $ -
Employee Paid
Company Card $ -
Day 4 $ 0.56 $ - $ -
Employee Paid
Company Card $ -
Day 5 $ 0.56 $ - $ -
Employee Paid
Company Card $ -
Day 6 $ 0.56 $ - $ -
Employee Paid
Company Card $ -
Day 7 $ 0.56 $ - $ -
Employee Paid
Company Card $ -
TOTALS
$ - $ - $ - 0.0 $ - $ - $ - $ - $ - $ -
(1) Total (2) Total Credit
( * ) Explanation of
Personal Card Expenses
Miscellaneous
Expenses
Items
(day & item)
Total Trip Cost (1+2)
Employee Paid = Reimbursable expenses paid personally by employee. Receipts required. Attach receipts to this form.
$ -
Company Credit Card = Expenses paid on BASC Credit Card. Attach copies of receipts to this form.
Total Trip Cost = Total of all expenses incurred by both employee and BASC.
Employee Signature: Date
Page of #
Supervisor Signature: Date
ver. 2011-12-01
Cost Center Name
1100 Union Square
1200 Dining Service Admin
1300 Concessions
1400 Trax
1450 Eagle’s Nest
1475 The Café @ College Suites
1500 Brockway Dining Room
1600 Bakery/Commissary
1700 Harrison Dining Room
1800 Gallery
1900 Maintenance
2000 Summer Programs
2100 Garnishes Catering
2200 Marketing Department
3000 Bookstore
3100 Jitterbugs
3200 Aerie
3300 Courtside
3400 Hartwell
3500 E-Commerce
4000 Vending
5000 Laundry
5500 Real Estate Management
6100 Transportation
9000 Easy Money
9100 IT Services
9200 Business Services
9300 SERC
9500 Conferences & Events
9999 Administration, HR, & Accounting