CPC Travel Reimbursement

Conditions

Immediately following submittal of this form, deliver receipts to:

Your project's travel coordinator, if applicable.
Kat O'Brien (domestic travel), 5th floor, University Square East
Holly Rudicil (international travel), 205 University Square West.

Submit ALL receipts including airfare, hotel, parking, and business-related travel expenses.
Tape (no staples or glue) small receipts with no overlapping to 8.5 x 11 sheet(s) of white paper, one side only.
Receipts for meals are not required. Receipts for taxis under $20 are not required; provide date, destination, and cost.
If you shared a hotel room, try to get a separate statement for your amount.
If you use an electronic ticket for air travel, include your boarding pass and your flight confirmation with receipts.
If you don't have a receipt, do your best to obtain one from the hotel, airline, etc.; otherwise submit a signed memo describing the circumstances and the cost. Keep in mind, however, there is no guarantee for reimbursement without a receipt.

First Name

Last Name

Your E-Mail Address

Home Street Address

City

State

Zip Code

CPC Phone

CPC Room

PID

Destination U.S. carrier is required if federal funds are used. If uncertain, check before making reservations.

Purpose of Trip Please be specific

CPC Account Number

Account Number

Did you get an advance for this trip?

Yes
No

Deliver all receipts for international travel to Holly Bagwell, Room 205 West, and all domestic travel receipts to Mae Dunne, 5th floor reception desk or your project's travel processor, if applicable.
Tape (no staples or glue) small receipts with no overlapping to 8.5 x 11 sheet(s) of white paper, one side only.

Airline Expense

Hotel Expense

Registration Fee

Rental Car Please provide justification (Insurance NOT covered)

Ground Transportation Getting to the Airport, Taxis, etc.

Other Expenses

Parking Airport, Hotel, etc.

Mileage

Foreign Exchange Rate http://www.xe.com/ucc/ 1 USD = ???

Time of Departure from Home/Office