?
Clear Form
Travel Authorization #
University of South Carolina
Do the expenditures below
conclude all claims against
this Travel Authorization?
Travel Reimbursement Voucher
Payee
Mailing Address
Traveler's VIPID
-OR- SSN
Payee VIPID (if different)
-OR- SSN
SECTION I
Date
(m/d/yy)
From
Time
returning
home base
SUB-TOTALS
Miles
Rate
(Itemized
receipt must
be attached)
?
Automobile
To
No
SECTION II
Transportation
Time
leaving
home base
Yes
Amount
0
Air Fare
0.00
Other
0.00
Meals
0.00
Lodging
0.00
For Travel
Office Use
Only
0.00
SECTION III
Registration
Amount
REGISTRATION TOTAL
SECTION IV
0.00
SECTION V
Other expenses: List and attach receipts
OTHER EXPENSES TOTAL
____________________________
Amount
0.00
FORM PREPARER
GRAND TOTAL
Dept
Fund
0.00
Object
Analytical
AMOUNT TO BE REIMBURSED
Phone
*** ERROR, Can NOT Reimburse for an Amount equal to 0!
Traveler's Signature
DEPARTMENT APPROVAL
/coconutcake/folders/Users/thompsjc/trv-form.pdf
0.00
I certify that the above expenses are just and true, that they were incurred on official business for the
University of South Carolina, and that they have not been (or will not be) reimbursed from any other
source.
Name
Authorized Signature
Amount
Date
Date
ACCOUNTING DEPARTMENT USE ONLY
Hand Check Number
Amount
Last Updated Aug 25, 2009