TRAVELREIMBURSEMENTFORMMAPSSCAMPUSDAYS
SignatureofTraveler___________________________________________Date_____________________________
I certify that the amounts given heron represent actual business related travel expenses and are in accordance with the current University of Chicago travel policy and procedures. If a copy of a receipt has been provided instead of an original, further certify that a I have not and will not be reimbursed for these expenses from any other source.
Date Item $ Amount
Airfare/Train
Taxi/Bus
Car Rental (Insurance is non-reimbursable)
Car - Personal (Mileage)
Parking
TOTAL $
MailingAddress:
City:State:ZiporForeignCountry
TravelDate(s):- DesHnaHon:
BusinessPurpose:
C.EXPENSEDETAILSPleaseNote:TravelReimbursementisupto$200.00
List total reimbursement amount here: $______________________________________________________________
B. TRAVELINFORMATION
PayeeName:
Phone()- EmailAddress:
A.PAYEEINFORMATION
UNIVERSITYRECEIPTREQUIREMENTS
Travel reimbursements are defined as payments to individuals for reimbursement of expensesincurred while traveling on University related business. University travel is defined as businessconductedgreaterthan50milesfromtheUniversity’scampus.Travelforallnon-employeesshouldbereportedthroughtheePaymentsystem.
Expense ReceiptRequirements
TransportaHon• Airfare• Train• Taxi• Bus
Originalpassengerpaidreceiptifexpenseis$75ormore.Whenpurchasingairlinee-Dckets(electronicDcket),traveler’sshouldrequestapassengeriDneraryandreceiptatcheckin.
CarRental Paidreceiptifexpenseis$75ormore.Note:DONOTpurchasecollisiondamagewaiver(CDW)orliabilityinsurancecoverageintheUSorCanada,butDOpurchaseinsurancecoverageinaforeigncountry.
Car-Personal(Mileage) Themileagereimbursementratefortravelon/aSerJanuary1,2019is58centspermile.MustpresentdocumentaDonshowingdates,numberofmilestraveled,starDngpointanddesDnaDon(ie,googlemapsormapquestprint-out).
Parking Paidreceiptifexpenseis$75ormore.
Please return your form and receipt to Tekeisha Yelton-Hunter at 5736 S. Woodlawn Room 204.