
TRAVEL & BUSINESS EXPENSE REPORT 
EMPLOYEE’S NAME:  EMPLOYEE’S PAYROLL ID # 
E -
EMPLOYEE’S HOME ADDRESS:  DEPARTMENT  NAME 
REQUISITION # 
X -
PURPOSE OF TRAVEL/BUSINESS: 
____________________________________________________________________________________________________________ 
We certify that the following expenses were charged and incurred in accordance with College policy and reimbursement is not being 
provided by any other source. 
AUTHORIZING SIGNATURE: 
________________________________________________  __________________________________________________ 
EMPLOYEE’S SIGNATURE  DATE 
_________________________________________________ 
(Please Print)  »  NAME  »  TITLE  DATE 
(A)  (B) 
DATE OF  PAID BY  PAID 
EXPENSE  DESCRIPTION OF EXPENSE  EMPLOYEE  BY COLLEGE 
Air/Rail Fare 
.  . 
Private Auto 
.  . 
Hotel 
.  . 
.  . 
.  . 
.  . 
.  . 
.  . 
TOTAL EXPENSES PAID BY EMPLOYEE:  TOTALS  .  . 
COST 
CENTER 
OBJECT 
CODE
 AMOUNT  1.  Total Expenses (Columns A&B)  . 
.  2.  Total Expenses  Paid by Employee (Column A)  . 
3.  Less: Travel Advance – Check #_____________ 
________________ - 73000  Credit Memo
 . 
. 
If Line 3 is more than Line 2: 
AMOUNT DUE TO FIT 
. 
Column 
TOTAL EXPENSES  (A) 
. 
If Line 3 is less than Line 2: 
AMOUNT DUE TO EMPLOYEE 
. 
FOR ACCOUNTING USE ONLY: _____________________________________________________  _______________________ 
Reviewed by:  Date