Travel Reimbursement Form
This Form And Receipts For All Expenses Must Be Submitted Together
Employee Name:
___________________
For the Month of: ____________
Date: ______________
Reimbursement Items
Trip Name
Date
Description
Amount
Transportation (Airfare, Rental Car, Ground Transportation, Gas, Mileage (with detail form attached)…etc.)
Meal (Choose Either Per Diem or By Receipts For Each Travel Day)
$7 / breakfast
X
$11 / lunch
X
Per Diem
$27 / dinner
X
OR $50 / all day
X
Lodging
Entertainment and Others
Total amount
Processing Time (Only fully documented form will be accepted):
The form is to be turned in to process every Wednesday for a check to be cut the next Friday.
The form isrequired to be submitted within 5 working days after every month ended at the latest.
Any late submission will be rejected and not be processed.
Employee
Date
Approved
Supervisor
to be reimbursed:
Approved
Accounting
Date
Approved
Date
President
Date