TRAVEL EXPENSE FORM
Department: P0# / TR#:

Name:

 Empl ID:
Street Address: City: Zip:
PeopleSoft Chartfield
Account Fund DeptID Prgm Class Project/Grant
Conference Title/Purpose:
Conference Location: Travel Dates - From: To:
DATES (MM/DD): TOTALS
Registration Fee: $ $ $ $ $ $Calculate Sub-Total
Transportation: Airfare $ $ $ $ $ $Calculate Sub-Total
Transportation: Other $ $ $ $ $ $Calculate Sub-Total
Hotel $ $ $ $ $ $Calculate Sub-Total
Meals: Breakfast $ $ $ $ $ $Calculate Sub-Total
Meals: Lunch $ $ $ $ $ $Calculate Sub-Total
Meals: Dinner $ $ $ $ $ $Calculate Sub-Total

Other: Itemize
$ $ $ $ $ $Calculate Sub-Total
$ $ $ $ $ $Calculate Sub-Total
$

Additional Explanation/Purpose:

EMPLOYEE NAME (PRINT):   DATE:
EMPLOYEE SIGNATURE:   DATE:
APPROVAL: BUDGET MANAGER   DATE:
APPROVING MANAGER/DESIGNEE   DATE: