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TEMPLE UNIVERSITY TRAVEL AND EXPENSE REPORT FOR NON TEMPLE EMPLOYEES
NAME
TUid
PHONE #
DEPARTMENT
DEPT. PHONE
STREET ADDRESS
CITY
STATE ZIP
INDICATE CHANGE
OF ADDRESS
PURPOSE OF TRAVEL OR ENTERTAINMENT
CONTACT PERSON
PHONE
EMPLOYEE_________
U.S. CITIZEN OR OTHER
PERMANENT RESIDENT VISA TYPE
ALIEN
NON-EMPLOYEE__________
U.S. CITIZEN OTHER
PERMANENT RESIDENT VISA TYPE
ALIEN
DESTINATION
TRAVEL MODE
DEPART DATE
RET. DATE
DATE
DAY
AUTOMOBILE
BUSINESS
MILEAGE
AUTOMOBILE
MILEAGE
EXPENSE
AIR
OR
RAIL FARE
TAXI
LIMOUSINE OR
PUBLIC TRANSIT
PARKING,
TOLLS CAR
RENTAL
LODGING
(ROOM + TAX)
MISCELLANEOUS
(EXPLAIN BELOW)
MEALS
B L D I
TOTAL
TOTALS
BRIEF EXPLANATION OF MISCELLANOUS EXPENSES AMOUNT )81'25*$&&2817352*5$0 AMOUNT
$
TOTAL REIM-
BURSED AMOUNT $
$
LIMIT ON EXPENSES $
$
LESS ADVANCE $
$
AMOUNT DUE $
APPROVAL (BUDGET UNIT HEAD) DATE
X
APPROVAL (DEPARTMENT HEAD) DATE
X
SIGNATURE OF PAYEE
X
DATE
PRINT NAME PRINT NAME
I HEREBY CERTIFY THAT THE ABOVE STATEMENT OF EXPENSES WERE INCURRED BY
ME WHILE ON DUTY FOR TEMPLE UNIVERSITY AND I HAVE NOT RECEIVED ANY
COMPENSATION FOR THESE EXPENSES.
SEND APPROVED
REPORT TO:
TRAVEL REIMBURSEMENT CENTER
1852 N. 10th Street, 083-11
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