CLAIM FOR OFFICIAL EXPENSES
Company_________________________________________
FOR PERIOD FROM ______________________TO__________ Department_______________________________________
Approved__________________Date:_______________ DATE NATURE OF EXPENSE
THIS CLAIM MUST BE PREPARED IN ACCORDANCE WITH RE TYPE OR PREPARED IN INK SUBSISTENCE Meals Lodging
TRANSPORTATION Mileage Cost
TOTALS: Additional Explanation:______________________ _________________________________________________ NAME OF CLAIMANT______________________________ _________________________________________________ DEPARTMENT HEAD____________________ APPROVED:
EXPENSES
_________________TO________________________
E PREPARED IN ACCORDANCE WITH REGULATIONS TYPE OR PREPARED IN INK MISCELLANEOUS Item Amount TOTALS
___________________________ POSITION_____________
T HEAD____________________ DATE_________________