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Employee Expense Claim Fraud - Excel by tlt12652


Employee Expense Claim Fraud document sample

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									                                                                                                                                                                                                                               Travel Requisition/Auth.__________
                                                                          Travel Expense Report
Traveler's Name (Last)                 (First)                        (Initial)                                                         Allocation of Costs to Benefiting Projects
                                                                                         Travel Expense Amt.                    Index            Fund        Organ.          Prog.         Account                                 Project
Send Check to:         (when possible please use campus mail)

Employee Number:                                                                           Grand Total Travel Exp.              Type of Traveler (Faculty, Staff, Student, Guest)                           Headquarters City
Contact Person:                                                                                                                                                                                                    Atlanta
Telephone Number:                                                              email Address:                                                                                              Univ. Fleet Vehicle:                       n/a
              Depart                                                                      Personal    Air Fare +                                                          Business                      Misc. Exp.
  Travel                    Arrive   Official Business Purpose of Trip                                                       Car            Lodging        Registr.                        Airport         Fee,          Meals &           Total
                                                                                          Vehicle      Booking                                                             Service
   Date                         Time with Itinerary to and from:                         Miles Driven
                                                                                                                             Rental          Costs          Cost                           Parking       Phone,         Incidental       Expenses
                 Time                                                                                     Fee                                                             Ctr. Costs
                                                                                               0.0          $0.00           $0.00            $0.00          $0.00           $0.00          $0.00           $0.00          $0.00                 $0.00
                                                                                                         Total Miles:            0.0         X Rate          $0.585             =        Total Mileage Costs                                     0.00
Justification for Travel:                                                                                                                                                               Grand Total Travel Expenses                              0.00
                                                                                                                          Prepaid/Direct Paid Items                                        Less Travel Advance                                   0.00
                                                                                                         PO#              PO#              PO#            PO#
                                                                                                         $0.00            $0.00            $0.00          $0.00                         Less Prepaid/Direct Paid by Univ.                        0.00
                                                                                                         (Registration)   (Lodging)                                      Net Amount to or (Owed) by Traveler                                     0.00
I certify this claim to be true and correct as to every material matter, and that no one willfully aided or assisted in, or procured, counseled, or advised in the preparation or presentation under the provisions of this section of a claim which is
fraudulent or false as to any material matter, whether or not such falsity or fraud is with the knowledge or consent of the person authorized or required to present such claim subject to legal penalties under State and Federal law, as

                              Claimant's Signature                                           Date                                       Dean, Project Director, or Other Approvals                          Date

                         Department Head's Approval                                          Date                                                Accounting Office Approval                                 Date

CAU PUR-4-1, (02/15/2008)

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