Listed below are samples of completed Travel Reimbursement vouchers. These samples are provided to hopefully assist in the preparation of a Travel Expense Reimbursement Vouchers. To view the actual sample form, click on the Sample 1 or 2.
Special Notes:
- Entire form must be completed. (Always complete in the info requested in the highlighted areas in the sample.)
- All vouchers must be typed or completed in Ink.
- All signatures must be the full name, not initials, dated and be original.
- Each day's expenses must be shown on a separate line.
Sample 1 - Employee travels to attend a Conference held in Dallas, TX.
- Travel Authorization number - 141189
- Personal Vehicle mileage to and from Charlottesville Airport, 120 miles round trip - $67.20
- Airline tickets - $410.00
- Travel day meal per diem - $55.00
- Shuttle to and from Dallas Airport and Hotel - $25.00 each way
- Registration Fee - $250.00
- Lodging @ $123.00 room rate (plus taxes & fees) per night - $139.95
- Full day meal per diems - $71.00
- Internet fees for official JMU business (justification required) - $11.95
- Meal per diem less dinner (included in Registration Fee) - $71.00 less $36.00 = $35.00
- Account Codes:
- 121700 $11.95 Internet Fees
- 122400 $250.00 Registration Fee
- 122700 $1,374.00 All other Expenditures
Sample 2 - Employee travels to Nashville, TN on field work.
- Travel Authorization number - 141190
- Personal Vehicle Mileage from JMU to Dulles Airport, 240 miles round trip - $59.04
- Airfare paid with Department SPCC - $0.00
- Travel day meal per diem - $51.00
- Lodging @ $122.00 room rate (plus taxes & fees) per night - $140.30
- Travel day meal per diem - $51.00
- Rental vehicle - $83.00
- Gasoline for rental vehicle - $23.00
- Parking at airport - $10.00
- Account Codes:
- 128200 $59.04 Mileage
- 128800 $102.00 Meal per diem
- 128500 $150.30 Lodging & parking
- 128300 $106.00 Rental vehicle & pas