Travel Reimbursement Worksheet

This form is used for reimbursement of any travel for those who have an approved Application for Travel completed prior to travel.

After traveling, info and receipts are needed to prepare the Travel Voucher to reimburse your expenses. AFTER SUBMITTING this form, all receipts and conference booklet should be submitted at one time. (The conference booklet will be returned to you.)

NEW UNIVERSITY RULE: if a university credit card paid for any portion of your trip, a travel voucher is required whether you are due a refund/reimbursement or not.

Name Name * First Last
Traveler's Name
Email *
I am a... *

I am a... Faculty or Staff Graduate Student Undergraduate Student Other Other
Do you receive a regularly scheduled paycheck from the university or are you serving as a student tutor? *

Do you receive a regularly scheduled paycheck from the university or are you serving as a student tutor? Yes No
Names of all others who traveled with you on this trip. *
Conference Name (If not a confrence indicate 'None'.) *

Name of conference attended (no abbreviations) -- Please provide the conference booklet. It will be returned to you.
Conference Date or Travel Dates *

Date(s) conference was in session
City and State (Destination) *

City and state where conference was held. If not attending a conference but field work is being performed, indicate nearest city/state.
Title of presentation or reason for travel *
Was a PCard used for any part of this trip? *

Was a university PCard used for any of your travel expenses (do not include registration fee)?
Detail how this trip will be paid. Please include account numbers and grant/award names. *
Were any meals provided?
What time did you depart Charleston? *

Date and time (AM/PM) traveler DEPARTED from Charleston
What time did you return to Charleston? *

Date and time (AM/PM) traveler RETURNED to Charleston
Personal Time *

Does any of the travel time include personal time or vacation time? If so, please explain. If does not apply, indicate 'NONE'.
Vehicle Used? *

If flight was involved, how did you get to the airport or train station?
Who was the driver?
Mileage

If personal vehicle, indicate mileage or odometer readings
Vehicle Expenses *

Vehicle Expenses: parking? highway tolls? (provide receipts)--if doesn't apply: indicate 'none'
Airfare *

Airfare: provide airline receipt with pricing and flying dates and time, plus any luggage receipts--if doesn't apply: indicate 'NONE'
Lodging Information *

Hotel Information: Conference Hotel (yes/no), provide hotel name/city/state/telephone number, provide receipt with pricing. If doesn't apply: indicate 'none'
Was this a conference hotel? *

Was this a conference hotel? Yes No N/A
Did you take a Shuttle or Taxi during your trip?

Shuttle to/from airport and hotel. Provide shuttle receipts.
If doesn't apply: indicate 'NONE'
How would you like to receive your reimbursement?

Please indicate how you would like to be paid for this trip. Students who are not employees may not choose direct deposit.
Type the letters you see in the image below.