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	Center for Community Innovation
	Center for Global Metropolitan Studies
	Center for Cities & Schools
	Shrinking Cities Group
	Building Resilient Regions Network

Entertainment Expense Reimbursement Request

This form is intended for use as a template only. You cannot send your entertainment expense information over the internet from this webpage. Enter your entertainment expenses on the form, then print out, and deliver or send the printout with all of your original receipts to:

Attn: Research Administration Unit
University of California
Institute of Urban & Regional Development
316 Wurster Hall # 1870
Berkeley, CA 94720-1870

The University will not reimburse for expenses that are not accompanied by original receipts.

This entertainment expense reimbursement request is a preliminary form, not the official purchase order that will be submitted to the University's Entertainment Office.

Name:

Email:

Send Check to this Address:

If you are a UC Student/Employee, enter your student/employee ID:

If not, then enter your social security number or federal tax ID:

I certify that the attached ORIGINAL receipts represent expenses incurred in connection with the project.

I certify that the following is an accurate description of the expenses:

Date of Event:

Time of Event: (Note: Price must include tax and tips)

Breakfast: $ ($15 per person)
Lunch: $ ($25 per person)
Dinner: $ ($40 per person)
Light Refreshments: $ ($10 per person)

Type of Event:

Administrative Meeting (directly concerned with the welfare of the University)
Prospective Appointee to a professional, administrative, or technical position
Prospective Donor
Meeting of Learned Society/Organization
Reception
Host to Official University Guest
Faculty/Staff/Student Meeting

Number of Participants:

Official Host:

Guest List:

A guest list is required by the University. If you do not provide a guest list, you must give a reason why it was impossible to obtain.

Total Entertainment Reimbursement: $

Signature of Requestor: _____________________________ Date:

Approved by:
Signature of P.I.: _____________________________ Date:

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[ Visiting Scholar Program ] [ Publications ] [ Research Associates & Staff ] [ Travel & Supply Expense Reimbursement Request ] [ Entertainment Expense Reimbursement Request ] [ Resource Links by Category ]