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Travel Expense Claim Form

When an employee travels on a business function or to a sponsored function, he or she is expected to fill a travel expenses claim form to claim a refund on out-of pocket expenses incurred during the business journey.  The form is detailed and straight forward, and any expenses that cannot be categorized in the major categories should be explained in the ‘other expenses’ section.

Travel Expense Claim Form

Name of Employee __________________________________________________________

Employee Number ___________________ Department _______________________

Date: _________________ Business Purpose ____________________________________

Location: __________________________________ Approved Expenses: ___________

Transportation:

Air, Rail, Bus, Etc ______________ Car Rental  ________________

Taxi, Limousine ______________ Automobile Expenses ________________

Parking, Tolls   ______________ Total Transportation __________

Lodging and Accommodation:   Total Expenses: _______________

Meals:

Breakfast _________________ Lunch:  ______________________

Dinner  _________________ Total Meals ____________________

Phone:       Total Expenses: _______________

Entertainment:      Total Expenses: _______________

Miscellaneous Expenses:    Total Expenses: _______________

Other Expenses (Include expense description and amount)

________________________________________________________

________________________________________________________

________________________________________________________

________________________________________________________

Total Expenses: _______________

Grand Total: ____________________

Less cash Advance: _________________

Balance Claimed: ________________

Employee Signature: _________________________ Date: __________________

Supervisor Signature: ________________________ Date: ________________

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