Car Use Fuel Reimbursement Form by xiq12342

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									          Alpha Omega Alpha - Expense Reimbursement Form
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                   NAME OF PAYEE
                   PURPOSE OF TRIP
                  Date of Event:
                  Mail attention to:
                  Mailing address:
                  City, ST, zipcode:
                  Phone:
                  Email:


                                                                                         Travel Dates
                                                                   From (d/m/yy):        To (d/m/yy):   Days lodging

                                                                                                              0




                              INCLUDE ORIGINAL RECEIPTS WITH THIS FORM FOR REIMBURSEMENT

         Lodging receipts: No need to break out by dates. Separate total lodging from total meals & tips.


   DATE ON                                                                                                 $ Air &                           $ Meals
   RECEIPT                                NAME OF BUSINESS ON RECEIPT                                   Ground Trans.      $ Lodging         & Tips          TOTAL

                                                                                                                                                                 -

                                                                                                                                                                 -

                                                                                                                                                                 -

                                                                                                                                                                 -

                                                                                                                                                                 -

                                                                                                                                                                 -

                                                                                                                                                                 -

                                                                                                                                                                 -

                                                                                                0.00              0.00             0.00           0.00           -
                                                                                                         Mileage will populate from the sum below.*             -

                                                                                                                                                         $      -

*MILEAGE reinbursement for personal car = $0.50/mile for the purposes of fuel charges.                                   0.5

     DATE                                               From/To                                          Miles driven    50 cents/mile

                                                                                                                                   -

                                                                                                                                   -

                                                                                                                                   -

                                                                                                              *Sum                 -



                   Print or Enter your name



                   Your signature (if emailing, sending from your email address will suffice)                            Date




                                                                                                                                For Office Use Only




                                                                                                          Authorized By                   Date               Code
  Alpha Omega Alpha - Expense Reimbursement Form
                                USE THIS FORM TO PRINT AND COMPLETE MANUALLY


               NAME OF PAYEE


               PURPOSE OF TRIP

               Date of Event:


               Mail attention to:


               Mailing address:


               City, ST, zipcode:


               Phone:


               Email:

                                             Travel Dates

                                                 From:                 To:               Amt of Days:




                 INCLUDE ORIGINAL RECEIPTS WITH THIS FORM FOR REIMBURSEMENT
 Lodging receipts: No need to break out by date. Separate total lodging from total meals & tips.

                                                                                           $ Air &                          $ Meals
   DATE                   LIST RECEIPTS USING BUSINESS NAME                                Trans.         $ Lodging         & Tips      TOTAL




                                                      MILEAGE* use the SUM from the mileage calculation below


                                                                                                                                TOTAL
*MILEAGE reinbursement for personal car = $0.50/mile for the purposes of fuel charges.                  0.55

   DATE                                    From/To                                       Miles driven    50 cents/mile




                                                                                                 SUM



               Print your name above



               Your signature here                                                                                       Date


                                                                                                               For Office Use Only




                                                                                         Authorized By                   Date           Code

								
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