TRAVEL EXPENSE REIMBURSEMENT FORM ONLY TO BE USED FOR TRAVEL RELATED EXPENSES
Name Address Business Purpose Comments: (Optional) DETAILS
SpeedCode or Chartfields Expense Date Expense Type
SELECT TYPE SELECT TYPE SELECT TYPE SELECT TYPE
Page 1 of 1
Person ID City Province Travel is research or trust funded Apply Cash Advance (Amount): Apply P.E.A. (Amount):
Amount Spent No % GST GST GST Amount
Total Due Employee: Postal Code
$
0.00
KM/Days
Description
No Rcpt
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Sub Total
$ 0.00
GST Amount
$ 0.00
P.E.A. & Cash Advance
Total Due Employee
$ 0.00
SIGNATURES
$
0.00
I certify that this claim is correct and is in accordance with the University's regulations and the sponsor or donor terms and conditions (where applicable) and have been incurred with due regard to reasonable economy. Printed Name
Claimant One Over One Authorization Internal Control Approval Financial Authority (if applicable)
Signature
Date
Elaine Simmt, Chair Debra Elliot, APO
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