Expense Reimbursement Form
United Academics Meeting Name:
UNAC Treasurer Location:
109 A Bunnell
PO Box 755895
Fairbanks, AK 99775
Note: this Excel spreadsheet is designed to automatically calculate your total expense
once you've entered the individual amounts. Send a printed and signed copy along with
BE SURE TO INCLUDE RECEIPTS all original receipts to the address on the left. If your signature or reciepts are missing, we
will not be able to process your reimbursement.
EXPENSE REIMBURSEMENT FORM
Date Amount Comments
I hereby certify that the above items are a true accounting of Total $ 0.00
any expenses incurred by me.
Less Deductions $ Explain
Signature X Less Advance $
Printed Name President's Approval
Mailing Address Treasurer's Approval
(for check) Classification Code
Date Signed Back Charge
1. Please submit signed expense reimbursement request within 10 days with receipts for all expenses.
2. MEALS: A Flat Per Diem rate will be paid of $60.00 per day.
If a meal is provided during a meeting or conference, the $60 will be reduce by
Breakfast $10, Lunch $20, Dinner $30
3. TRANSPORTATION: Taxi fare to and from the airport (include receipt).
If long auto trips are made, discounted airfare may be paid if lower than the mileage costs.
Car rentals are not covered. Special circumstances might make a car rental necessary but prior approval must be given.
4. PARKING: Airport parking or hotel parking (include receipt).
5. HOTEL: Actual costs of Hotels will be paid. Unless designated as a meeting site, select mid-range hotels such as
Sophie Station or Pike's Landing in Fairbanks or the Hotel Captain Cook or Hilton in Anchorage.
Many hotels give lower rates if you provide proof that you are an employee of the University of Alaska.
6. TELEPHONE CALLS: United Acadmics will pay for one telephone call home per day plus business related calls to check in
with your office.
7. MISCELLANEOUS: No personal expenses (e.g. health club, movies, laundry, newspapers, etc.) will be reimbursed.
If you have any questions while filling out this form, contact UNAC Office - 1.877.474.2461 or x2461 FBKS Campus.
http://www.unitedacademics.net/ Updated 4/22/10