Travel Expenses

Name	Employee ID
E-mail	Department
Purpose	Approved by

Trip hours	Dates	Hours	How spent

Expenses	Dates	Details	Amount
Transportation	Air	Taxi	Rental car	Other
Air	Taxi	Rental car	Other
Air	Taxi	Rental car	Other
Air	Taxi	Rental car	Other
Own car	Mileage
Lodging	Location
Location
Location
Location
Meals	(Not to exceed $50/day)
(Not to exceed $50/day)
(Not to exceed $50/day)
(Not to exceed $50/day)
Conference fees	Purpose
Purpose
Other	Purpose
Purpose
Purpose
Purpose
Subtotal
Less amount paid by company
Total amount owing to employee

Signature	Date

Please attach receipts for all listed expenses, sign the form and send to the Accounting Department.