Travel Reimbursement Form

Travel Reimbursement Form
Today's Date

Month Day Year
Date
Did you file a Pre-Authorization Request? *

Yes No
If yes, when was it approved?

Month Day Year
Date
If you did not file a travel pre-authorization, please explain
Traveler Information
Traveler Name

First Name Last Name
CINC Email
name@cincollege.org
CINC Phone Number
Please enter a valid phone number.
Departure Date and Time

Month Day Year
Date
Hour Minutes AM/PM Option
Arrival Date and Time

Month Day Year
Date
Hour Minutes AM/PM Option
Return Date and Time

Month Day Year
Date
Hour Minutes AM/PM Option
Grand Total for Reimbursement (from the excel form) *
Trip location(s)
Business Purpose
Trip locations, travel dates, personal time, what conference attended or research performed, meetings held, & how it relates to your role at CINC. See the guide for more information.
Upload Travel Reimbursement Form (excel: title LastName.FirstName.YR.MO.DY-Travel Reimbursement.xlsx)

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Upload Supporting Documentation

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Upload Receipts

All original receipts must be submitted within 3 business days. Receipts must be itemized and show method of payment.
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Should be Empty:

Traveler Information