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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