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Travel & Supply Expense Reimbursement Forms

	Travel Reimbursement Request
	Foreign Per Diem Reimbursement Request
	Supply & Miscellaneous Expense Reimbursement Request

For more information on the University's travel and entertainment reimbursement process, please visit http://travel.berkeley.edu/.

Travel Expense Reimbursement Request

This form is intended for use as a template only. You cannot send your travel information over the internet from this web page. Enter your travel expenses on the form, then print and deliver or mail 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 and/or a travel log.

This travel reimbursement request is a preliminary form, not the official travel report submitted to the University's Travel 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:

Project to be charged:

Date of Departure:Time:Round Trip?:

Date of Return: Time: One Way?:

Did you purchase your plane ticket through a UC-approved travel agency? Yes No
If so, please attach plane ticket.

Did you receive a travel advance? Yes No Amount: $Date:

Please describe the purpose of the trip:

Transportation

Type of transportation used:

Private Vehicle:* ( miles x $0.485/mile)=$
If personal vehicle used, please enter vehicle license plate number
Does the vehicle have liability insurance? Yes No
Rented Vehicle: $
Airplane: $
Train: $
Local Bus: $
Subway: $
Taxi: $
Tolls: $
Fuel: $
Parking: $

Total Transportation: $

Meals and Incidentals

The University will reimburse up to $50 per day for meals with receipts or travel log.

Total Meals: $

Lodging

The University now requires that lodging receipts be itemized. If you do not have an itemized receipt, please ask the hotel to FAX or mail you one.

Total Lodging: $

Miscellaneous

Registration Fees: $

Telephone, FAX, Supplies, etc.: $

Other: $(Explain):

Total Miscellaneous: $

__________________________________________________________

Itemized Expenses Subtotal:    $

Deduct: Travel Advances:         <>

Total Travel Reimbursement:   $

Signature of Traveler: _____________________________ Date:

Signature of Project P.I.: _____________________________ Date:

PLEASE NOTE:
All travel vouchers processed through the University must have the signature of the traveler on the FINAL travel expense report that the IURD administration staff generate. To avoid delays, please check your email often once you have submitted the above form and all of your receipts. You will receive an electronic copy of the completed travel expense report. Once you receive this file, please print it out, sign, and return to IURD by fax (510-643-9576) or by mail (see address above).

Foreign Per Diem Reimbursement Request

For per diem requests, please fill out this section in addition to the first section of the Travel Reimbursement Report.

Foreign Travel Only

If claiming per diem, please enter:

Starting Date:	Time:
Ending Date:	Time:

Total Hours Per Diem Travel: $

Lodging only: $

Meals and Incidentals (M&IE) only: $

or Lodging and M&IE: $.

__________________________________________________________

Itemized Expenses Subtotal: $

Deduct: Travel Advances: <>

Total Travel Reimbursement: $

Signature of Traveler:_____________________________ Date:

Signature of Project P.I.:__________________________ Date:

Supply & Miscellaneous Expense Reimbursement Request

This form is intended for use as a template only. You cannot send your supply expense information over the internet from this webpage. Enter your expenses on the form, then print and deliver or mail 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 supply and miscellaneous expense reimbursement request is a preliminary form, not the official purchase order that will be submitted to the University's Disbursements Office.

Name:

Email:

Send Check to this Address:

If you 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 and explanation of the expenses:

Signature of Requestor: _____________________________ Date:

Approved by:

Signature of Project P.I.: _____________________________ Date:

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