Post-Travel Reimbursement
Traveler
*
First Name
Last Name
Email
*
example@example.com
Position Title
*
Name and departments of other travelers/passengers
*
N/A if no other travelers
Event Name
*
Event Location - Description of Event
*
Reason for travel
Reason for travel
*
Conference
Meeting
Other
Event Date Begin
*
/
Month
/
Day
Year
Date
Event Date End
*
/
Month
/
Day
Year
Date
Departure date & time
*
/
Month
/
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
Return date & time
*
/
Month
/
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
DC Code / Department Funding
*
Grant funding/Account
Back
Next
What are you requesting reimbursement for?
Meals
Private Vehicle Mileage
Uber, Taxi, Toll Fees
Parking Fees
Baggage Fees
Lodging
Registration
Other
Meals & Incidental Allowance
Meals Provided?
Yes
No
If Yes, which meals and dates?
Lodging & Other Fees (Please note if on BPC & who's)
Please note if the charge is on a BPC and who's BPC.
Personal Mileage Reimbursement
Current Mileage Rate
For reimbursement purposes, travel time begins from the employee's official station when it is closer to the destination. KSU Salina private vehicle reimbursement rate is $.40 per mile.
From
To
Back
Next
Attach copy of: Registration Form and/or Itinerary for event, receipts, map for personal miles, etc.
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Submit
Should be Empty: