HTML Preview Sample Travel Expense Reimbursement Claim Form page number 2.
PERSONNEL #
If you work on-campus, you have a personnel number.
If you don't have one, you must provide the following information along with this form:
* birth date
* social security number
* nationality
* mailing address
PAYMENT
If you have Direct Deposit, the reimbursement will be deposited into your account.
If you do not have Direct Deposit, the check will either be mailed to your address on file, or you pick it up wherever you get your payroll checks.
You should receive your payment within one month of submitting your receipts to the Engineering Advising Office.
SAMPLE EXPENSE REIMBURSEMENT FORM:
STUDENT GROUP: EWB
NAME OF TRAVELER: Steph Schreckinger
AFFILIATION: staff
TRAVELER'S JHU PERSONNEL #:
PROJECT/ACTIVITY: Ecuador Assessment Trip
TRIP DATES: 1/13/07 - 1/20/07
NAME OF TRIP LEADER: Linda Wan
signatures:
DATE LOCATION
CATEGOR
Y
DESCRIPTION PAYMENT FOREIGN CURRENCY US DOLLARS RECEIPT
Sat, Nov 24 transportation plane ticket credit card $659.00 1
Sat, Jan 13 Quito transportation taxi from airport to hostel cash $10.00 no
Quito food dinner at El Arabe cash $16.80 2
Quito lodging Hostel stay at L'Auberge cash $17.00 3
Sun, Jan 14 Quito food breakfast cash $2.40 no
Quito-Cayambe transportation toll cash $1.10 4
TOTAL: $0.00 $706.30
Revised 7/26/10 Page 2 Travel Expense Reimbursement Form.xls