ATLAS INVOICE

ATLAS INVOICE
Please note: DO NOT SUBMIT CONFIDENTIAL INFORMATION (e.g., Form W-9, SSN, bank account & credit card numbers) through this form.
Date *

- Month - Day Year
(click calendar icon on right)
Your Name *

First Name Last Name
Your Email *

Confirmation Email example@example.com
Your Phone Number *
Name of PAYEE (individual or program/organization to whom the check should be made) *
If payment is going to your PROGRAM rather than to you, then enter your PROGRAM / ORGANIZATION here

Address of PAYEE (the individual or program/organization receiving payment) *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Is this a new/updated address for this individual / organization? *

No Yes Unsure
Are you currently employed by Hamline University? *

No - I do not work for Hamline Yes - I am Hamline staff Yes - I am Hamline faculty Yes - I am a Hamline adjunct
A) MILEAGE REIMBURSEMENT
1. IMPORTANT: You must click "ENTER" for EACH trip - otherwise it will not show up on the invoice.
  Optional rows will appear for additional trips.
REMEMBER - You must click "ENTER" for EACH trip - otherwise it will not show up on the invoice.
TOTAL MILES TRAVELED (all trips) in SECTION A:
(HINT - If needed, you can use the calculator below, then enter the total here)
Calculator
TOTAL MILEAGE REIMBURSEMENT (AUTOMATIC calculation):
$ (automatic calculation: miles x current mileage rate)
B) REIMBURSABLE EXPENSES - receipts required

(e.g. hotel, airfare, meeting supplies, photocopies, etc.)
1. IMPORTANT: You must click "ENTER" for EACH expense - otherwise it will not show up on the invoice.
  Optional rows will appear for additional expenses.
2. Meals are not always reimbursable; please verify with ATLAS staff.
3. Allowable meal reimbursements cannot exceed State of MN per diem limits: Breakfast - $9 / Lunch - $11 / Dinner - $16 *
  (*Some areas have higher limits; please check with ATLAS staff.)
REMEMBER - You must click "ENTER" for EACH expense - otherwise it will not show up on the invoice.
TOTAL of REIMBURSABLE EXPENSES in SECTION B:
(HINT - If needed, you can use the calculator below, then enter the total here)
Calculator
REQUIRED: Upload receipts for above expenses (multiple receipts may be uploaded)

Browse Files
Max file size 100MB each - pdf, doc, docx, xls, xlsx, jpg, png, gif Cancel of
C) STIPENDS/CONTRACT PAYMENTS

(e.g. presenter fees, cohort participant stipends, contract work, etc.)
1. IMPORTANT: You must click "ENTER" for EACH payment - otherwise it will not show up on the invoice.
  Optional rows will appear for additional payments.
REMEMBER - You must click "ENTER" for EACH payment - otherwise it will not show up on the invoice.
TOTAL of PAYMENTS in SECTION C:
TOTAL AMOUNT REQUESTED (AUTOMATIC calculation):
NOTE: If this total is incorrect, you did not enter all your totals above!
Your Initials: (draw with mouse) *
IMPORTANT INSTRUCTIONS:

STEP 1: Click "Preview Answers" below and check your invoice for accuracy.

a) Did you remember to click "ENTER" for each item?
(If items are not showing up, you did not officially "enter" them.)

b) Did you upload all your receipts?

* To update/revise your invoice:

a) Click "Back" button
b) Make revisions on invoice
c) Click "Preview Answers" again

STEP 2: From PREVIEW screen, please print or save* (preferred) your invoice as a PDF.

* To save as PDF:

a) Click "Print" button
b) In box that appears, change printing Destination to "Save as PDF"
c) Click "Save"
d) Change File Name as desired and choose a location for the PDF file on your computer
e) Click "Save" again

STEP 3: Click "Submit" button to submit your invoice to ATLAS for processing.

* Be aware that it may take several seconds to go through.

NOTE: If there is an issue with the form submission process, you may email your PDF form, with all applicable receipts, to Marisa Geisler at mgeisler02@hamline.edu.
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ATLAS INVOICE

A) MILEAGE REIMBURSEMENT

B) REIMBURSABLE EXPENSES - receipts required

C) STIPENDS/CONTRACT PAYMENTS