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2008-09-25T22:10:57Z
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N IENDB`3 A @ @
s W General Information
*Description: *Business Purpose:
*Expense Type. Traveler's Home Dept. or Primary Work Location Expense Details Personal Vehicle Mileage TRAVEL AUTHORIZATION and CERTIFICATION: I hereby certify or affirm that the above amounts as itemized were incurred by me as necessary expenses in the performance of my official duties. Any meals or lodging included in a conference fee or otherwise paid on my behalf have been deducted from this travel claim. I understand that in accordance with IRS Revenue Ruling 2006-56, if I do not return this completed form within 120 days after the return date of this travel, these amounts will be included as taxable earnings on my Form W-2. y *Billing Type In State; Out of State; Foreign; Non-Travel Exp.
Comment: Travel Expense Report *Required Information Foreign Travel In-State Travel Non-Travel Expense Out-of-State Travel
Billing Types Airfare Auto Rental Business Meeting
Hotel/Lodging Meals/Per Diem Membership Dues/Fees Mileage Mileage-Moving Only Non-Capital Equipment Other Job Related Expenses Other Travel Expenses
Parking/Tolls Registration-Conf. Training Taxable Travel (>120 days) Telephone/Internet Tuition
Expense Types
Out-of-Pocket Payment Type2 *Expense Date ex. 07/01/2009 Traveler Date
Supervisor Account Signatory *Traveler's Name *Traveler's Employee ID *Accounting Detail (Speed Type) Miles *Amount Spent *Grant or Project Number *Department ID *Fund ID *Program ID* Principal Investigator or Other Approval: , Reimbursement (Also Enter in *Amount Spent)
Travel Start Location Travel End LocationU *Expense Type Description (REQUIRED) K * Travel Expense Report - Continuation Sheet TOTAL - carried to Page 1 Amount from Sheet 2 Apply Cash Advance Apply Travel Authorization & AMOUNT FROM Sheet 2 LESS TRAVEL ADVANCE enter as positive amt. business moving date Authorized PI(s):6 Traveler's Home Dept. or Primary Work Location / PhoneV Travel Expense Report ID (for Controller's Office Use)9 Cardholder's Name: Last 4 digits of Card: UMass Travel Card / ProCard Information (if used for this travel)k - (required for ORSP approval) UMass Travel Card ProCard (prepaid expenses)r Travel Expense Report ID (for Controller's Office Use)U S *Payment Type (note: empoyees are only reimbursed for Out-of-Pocket expenses) . + TOTAL DUE EMPLOYEE (DUE UMASS IF NEGATIVE) (travel is assumed to be round trip unless indicated otherwise - enter the business destination before the return leg as the Travel End Location)u *Expense Type Description (required) enter travel agency name and BT# if expense was Direct Billed to Travel Agency $ Direct Billed-Travel Agency Pmt Type Total for All travel expenses =] Total Due does not include Direct Billed-Travel Agency, UMass Travel Card and ProCard amounts
0 ] Total Due does not include Direct Billed-Travel Agency, UMass Travel Card and ProCard amounts# Enter Travel Authorization ID below Moving-Only Mileage Z % ( ) "* [ * r+ ", [ ^- . T / 2 : c c B
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