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.