Travel Reimbursement Request Form

Travel Reimbursement Request Form

Please submit all necessary documentation to prevent any delays :)
Employee Name *

First NameLast Name
Employee Email*
example@example.com
Email of Person Submitting on Behalf of Employee (if different)
example@example.com
If you don't have the account number, please provide the program, division or grant to which this should be charged.
Account Number*
Sub Account / Project Code
Detailed Business Purpose*
Please refer to UA Business purpose guide for additional information.
Will you need Meal Per Diem Reimbursement? (Accountant will add this to Travel Expense Report)*

YesNo
Were any meals provided? Please list them with the date(s) they were provided.
Do you have a signed Travel Authorization Form from the Concur Travel System?*

YesNo
Four Digit ID
Retrieve Signed Travel Authorization Form from Concur System

From Concur System: Authorization Requests -> Select "Travel" from Request Library -> Select "Print / Share" -> Select "U of A Request with Audit Trail and Approvals" -> Select "Save as pdf"
Travel Authorization Form from Concur System*

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Blank Travel Expense Report Found Here
Travel Expense Report (DO NOT SIGN, Accountant Needs to Review Travel Expense Report Then Will Instruct You to Sign It)*

(DO NOT SIGN, Accountant Needs to Review Travel Expense Report Then Will Instruct You to Sign It)
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Receipts / Google Maps for Mileage Reimbursements (Do Not Add Food Receipts if Asking for Meal Per Diem Reimbursement)*

(Do Not Add Food Receipts if Asking for Meal Per Diem Reimbursement)
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Supporting Documentation (Conference Agenda / Program, Flight Comparison, Designated Hotel Information, Email Support, etc.)

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Supporting Documentation Requirements:

Travel to attend a conference: Provide the conference brochure showing any designated lodging, meals included in the conference fee and the opening and closing days of the conference. This is required for conference fees, designated lodging and meal reimbursements.

Mileage (to/from the airport): Include a Google maps screenshot showing the accurate mileage from point A to Point B.

Airfare: The original passenger receipt coupon. When purchasing tickets via the internet, the confirmation or receipt must indicate the name, itinerary and that the tickets have been paid for.

Car Rental: The original itemized receipt from the car rental agency. Provide an explanation for upgrades, additional drivers or any other miscellaneous charges.

Uber / Lyft / Taxi: Provide original itemized receipt from the service you used. Tips cannot be greater than 20% of the subtotal (which excludes surcharges and taxes).

Lodging: The original itemized statement from the lodging venue with the lodging venue name, address and phone number, the dates of lodging, daily room charges or single room rates if more than one person is occupying the room. Business phone charges may be claimed as a miscellaneous expense if documented by receipt.
Should be Empty: