CIC Travel Reimbursement Form

CIC Travel Reimbursement Form
Traveler's Name*
Traveler's Email Address*
example@example.com
Traveler's Department*

CICDevelopmentiSchoolRecruitingSJMCSIPA
Are you a current USC student?*

YesNo
Please provide your USC ID*
Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Please upload your approved travel request form

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Accounting information for reimbursement
Departure date and time (please enter the time you left your home)*

MonthDayYear
Hour MinutesAM/PM Option
Return date and time (please enter the time you returned to your home)*

MonthDayYear
Hour MinutesAM/PM Option
Destination*
City, State, Country
Did you travel internationally?*

YesNo
Please provide a brief description of your travel
Please select all types of expenses that were incurred during travel. Please do not include an expense if it was direct billed to the college or school.*

AirfareLodgingMeal expensesGas mileageRegistration feesLuggage feesGround transportation (Taxi, Uber, etc.)Other travel expenses
Airfare
Total airfare*
Please upload a copy of your flight receipt*

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Lodging
Total lodging*
Please upload a copy of your itemized lodging receipt*

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Meal Expenses
Please use the table below to calculate your total meals per diem during travel. Non-departure or return travel days receive the full $35 in state/$50 out of state per diem.
Please use this link to calculate total meals per diem during travel
Were any meals included as part of your trip/registration?*

YesNo
Please list any meals that were included*
Ex: Dinner, 1/1/22; Lunch 1/2/22
Please upload copies of your meal expense receipts (if applicable)

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Total meal expenses*
Mileage
Total miles traveled*
Total mileage reimbursement amount
Please upload a screenshot of your route from Google Maps*

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Total mileage reimbursement amount*
Registration
Total registration fees*
Please upload a copy of your registration receipt*

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Luggage
Total luggage fees*
Please upload a copy of your luggage fee receipts*

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Ground Transportation
Total ground transportation expenses*
Please upload a copy of your ground transportation receipts*

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Please provide a brief business purpose for each ground transportation receipt*
EXAMPLE: "Uber on 1/1/25 - Transportation from home to airport"
Other Expenses
Total other expenses*
Please upload a copy of your receipts for other expenses*

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Please include a brief description of other expenses*
TOTAL
Total travel expenses
Total travel expenses*
Should be Empty:

CIC Travel Reimbursement Form

Airfare

Lodging

Meal Expenses

Mileage

Registration

Luggage

Ground Transportation

Other Expenses

TOTAL