HTML Preview Employee Expense Report page number 1.
AP
E:\Web\Forms\AP\Emp_Exp_Report.doc
Form Ref V4 150110
PAYMENT DETAILS:
Employee Name:
Phone No:
Employee Number:
Company No:
Dept No or
Budget Unit:
Does this claim relate to a previously issued advance? (please indicate
) No Yes - please enter amount of previous advance: $
Does this claim relate to Travel on University business? (please indicate
) No Yes - please enter Travel Portal Requisition No.
DETAILS OF CLAIM – Enter all amounts in AUD
Purpose of Expenditure
Receipt
Amount
(incl GST)
GST Amount
(if applicable)
Section
Account
Project
Group
Activity
Location
Total Amount of Claim
EMPLOYEE EXPENSE PAYMENT BENEFIT DECLARATION PAYMENT APPROVAL
Note: Some expenditure approved as official University business may still be
subject to Fringe Benefits Tax (eg. HECS, telephone rental, etc.)
Voucher No:
Date Entered:
E
E
M
M
P
P
L
L
O
O
Y
Y
E
E
E
E
E
E
X
X
P
P
E
E
N
N
S
S
E
E
R
R
E
E
P
P
O
O
R
R
T
T
Note: Original Tax Invoice/Receipts &/or documentation MUST be attached
The above expenses I am claiming for reimbursement were incurred by me during the
period to for the purposes mentioned above, on official University
business. I also declare that the percentage of those expenses incurred in earning my
assessable income was __ %. Original documentation is attached.
I approve the above expenditure within my delegation as an Authorised Officer.
I confirm that it has been incurred in accordance with University policy and procedures, and is for
legitimate University Purposes.
Employee’s Signature:
Approver’s Signature:
Date:
Name (please print):
Date: