DEPARTMENT OF INTERCOLLEGIATE ATHLETICS
STATEMENT OF TRAVEL EXPENSES/
REQUEST FOR REIMBURSEMENT

Name:		Sport:	
Destination:		Purpose:	
Dates:		

Date	Description	Brkft	Lunch	Dinner	Hotel	Trans
/Misc	Total	

								

								
								
						Total Expenses		
						Less Advance		
						Amount to be Reimbursed		
						(or)        Amount to CSF		
I certify that these expenses were incurred on official CSF Department of Athletics business.

	Traveler’s Signature			Date

INSTRUCTIONS:
1.  Submit this report with receipts within five (5) working days of return or purchase.
2.  Transportation:  Include airline ticket(s), rental car, gas/mileage, cabs, and local transportation.
3.  Meal Per Diem:  Breakfast = $4.00; Lunch = $6.00; Dinner = $10.00
4.  Hotel:  Attach hotel receipts or bill.
5.  Miscellaneous:  Up to $5.00 per day.
6.  American Express Corporate Card:  Clearly indicate which are American Express expenses; don’t add them into the total to be reimbursed.