Department Reimbursement Forms
Please complete the form, print and sign a paper copy, and attach all relevant receipts. Return completed forms and documents to Elizabeth LaVarge-Baptista in 6311 Dwinelle or to her mailbox in 6303 Dwinelle.
Please do not save copies of these forms for future use — they are frequently updated, and you will find the latest versions here.
Note: For this form to print with proper formatting, you should download to Adobe first, then complete and print.
Note: For this form to print with proper formatting, you should download to Adobe first, then complete and print.
- Foreign Per Diem Rates, USD, based on the month in which the traveler arrived in the country.
Note: For this form to print with proper formatting, you should download to Adobe first, then complete and print.
Certificate of Lost or Missing Receipt Travel and Entertainment: for expenses $75+ for which there is no itemized receipt or no receipt at all. General: required if missing an itemized receipt or proof of payment.
For examples, see below:
Domestic Travel Reimbursement INSTRUCTIONS (pg 2)
International Reimbursement INSTRUCTIONS
Entertainment Reimbursement INSTRUCTIONS
General Reimbursement INSTRUCTIONS
