Travel Reimbursement Form

Thank you for choosing to use our Travel Reimbursement Form. Please complete the following sections accurately to facilitate prompt processing of your reimbursement request. Your cooperation is greatly appreciated.

Employee Information:

Name	[Your Name]
Employee ID	[Your Employee ID]
Department	Sales
Contact Number	[Your Number]

Travel Details:

Trip Purpose	Sales Conference
Destination	New York City
Date Of Departure	September 15, 2050
Date Of Return	September 18, 2050

Expense Details:

Please provide detailed information for each expense incurred during your trip. Attach original receipts where required.

Transportation Expenses
Airfare	$500.00
Rental Car	$200.00
Taxi/Uber	$75.00
Parking Fees	$40.00
Other (specify)	Subway Fare $20.00

Lodging Expenses
Hotel Name	New York Plaza Hotel
Number Of Nights	3 nights
Total Hotel Expense	$600.00

Meals
Breakfast	$15.00
Lunch	$20.00
Dinner	$40.00
Daily Total	$75.00

Miscellaneous Expenses
Conference Registration	$150.00
Business Supplies	$50.00
Other (specify)	Miscellaneous Supplies $30.00

Other Expenses (if applicable)
Description	Entertainment for Client $100.00
Description	Taxi to Airport $50.00

Total Expenses (A)	$1,660.00
Advance Amount Received	$800.00
Total Reimbursement Request	$860.00

Approval Signatures:

I certify that the expenses listed above were incurred during the course of my authorized business travel and are accurate and in accordance with company policies.

Traveler's Signature: [Signature] Date: September 20, 2050

Supervisor's Approval:

I have reviewed and approved the expenses claimed by the traveler.

Supervisor's Name: Jane Smith Date: September 21, 2050

Finance Department Use Only:

Payment Method: [X] Direct Deposit [ ] Check

Payment Amount: $860.00

Payment Date: September 25, 2050

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