TRAVEL REIMBURSEMENT FORM MAPSS CAMPUS DAYS Signature of Traveler___________________________________________ 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 $ Mailing Address: City: State: Zip or Foreign Country Travel Date (s): - DesHnaHon: Business Purpose: C. EXPENSE DETAILS Please Note: Travel Reimbursement is up to $200.00 List total reimbursement amount here: $______________________________________________________________ B. TRAVEL INFORMATION Payee Name: Phone ( ) - Email Address: A. PAYEE INFORMATION
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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.
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.