Business Expense Reimbursement Form - Free Download
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Business Expense Reimbursement Form
Payee Name Preparer Telephone Date Prepared
Dept Name Prepared By
Address* Status
Employee
Send Check to:
City, St, Zip
Student
Employee ID** **7 digit field required for employees
Other (list at right)
MEAL EXPENSES
Date Business Purpose of Meal Where held (restaurant, etc) List Attendees Amount
MEAL EXPENSES TOTAL
$ -
OTHER BUSINESS EXPENSES
Date Type of Expense Business Purpose Amount
OTHER TOTAL
$ -
LOCAL AUTO MILEAGE & PARKING & TOLLS
Date From To Total Miles Parking & Tolls Business Purpose Amount
$ -
-
$ -
-
$ -
-
LOCAL TRAVEL TOTAL
$ -
APPROVALS
TOTAL BUSINESS EXPENSE REIMBURSEMENT
$ -
Date
Account DeptID Amount
Supervisor (print name)
$ -
Supervisor Signature: Date
Dept Chair/Dean/VP: Date
BFO/Asst Dean: Date
SPA (grants): Date
Refer to the online Business Expense policy at: 1/14
Return completed form with proper approvals & original receipts to: Accounts Payable, TAB, Medford Campus
*Campus address
should be used for
employees
.56/Mile
APPROVAL SIGNIFIES COMPLIANCE WITH UNIVERSITY POLICIES & PROCEDURES. IN ADDITION, IF GRANT
FUNDED, IN ACCORDANCE WITH FEDERAL COST PRINCIPLES AND SPONSORED AGREEMENT GUIDELINES,
THERE ARE NO UNALLOWABLE COSTS (I.E. ALCOHOL, ENTERTAINMENT ETC.) CHARGED TO GRANTS.
Employee/Payee
Signature*:
Project/Grant (if
required)
http://finance.tufts.edu/accpay/pid=4
When to use a business expense form
