Travel Expense Report Travel Expense Report # Traveler Vendor # Destination 1 Traveler Department: Destination 2 Department Location: Purpose Of Trip Departure Time: First Day : Last Day: Arrival Time: First Day : Last Day: Misc. Expenses : Total Car Rental : Total Transportation: Airfare From : To: Total Mileage From : To: Total Toll Charges : Total Registration Fees : Total Dates of Travel Meals Lodging Limo/Taxi Or Bus Car Storage Phone calls Tips Totals Breakfast Lunch Dinner Totals I hereby certify that the expenses claimed in this voucher were incurred for official business and the claim is as allowed by the company policy. Adv Acct Ref Amt Total Expenses Traveler222s Signature Date Due Traveler Due Company Account Fund Dept Program Class Project Type Amount Total Expenses First Level Approval by (Name &Sign) Date Second Level Approval by (Name &Sign) Date Audited By Received by Accounting Dept on date Departmental Point of Contact for any Claim related Clarifications Name Phone Ensure that this claim form is submitted along with the original supporting documents + photocopies of all documents. A copy of this claim form should be retained for your records. American LegalNet, Inc. www.FormsWorkFlow.com