Employee Travel Form

This form must be completed in one sitting and canonot be saved to complete later.

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  Itemized Receipt Requirements

Airfare cannot be purchased on your travel card.

Please be sure to review the  button above. 

Indicates required field
Choose your Department/Org # (in 1 of the 3 drop downs)
Please just choose one department from the lists.
Have the receipts for this trip been uploaded in Concur?
 
 
Dates Traveled:
Did you travel to multiple destinations?
 
 
Do you need additional destinations?
 
 
Is there a cash advance for this trip?
 
 
Business Purpose
One file only.
20 MB limit.
Allowed types: bmp, eps, tif, pict, txt, rtf, pdf, doc, docx, ppt, pptx, odp, xls, xlsx, ods, xml.
Expenses
Airfare
$    Includes CBT agent fee.
Purchase through Concur travel expense system or Christopherson Business Travel (CBT)?
 
 
One file only.
20 MB limit.
Allowed types: bmp, eps, tif, pict, txt, rtf, pdf, doc, docx, ppt, pptx, odp, xls, xlsx, ods, xml.
Refer to the “PSC Internet Airfare†button at the top of this form.
One file only.
20 MB limit.
Allowed types: bmp, eps, tif, pict, txt, rtf, pdf, doc, docx, ppt, pptx, odp, xls, xlsx, ods, xml.
Airfare previously purchased through the Concur Expense System or CBT needs to be included in this report.
Ground Transportation
$ 
Travel card used for purchase?
 
 
One file only.
20 MB limit.
Allowed types: bmp, eps, tif, pict, txt, rtf, pdf, doc, docx, odt, ppt, pptx, odp, xls, xlsx, ods, xml.
Lodging
$ 
Travel card used for purchase?
 
 
Did anyone stay in the lodging with the primary traveler?
 
 
One file only.
20 MB limit.
Allowed types: bmp, eps, tif, pict, txt, rtf, pdf, doc, docx, ppt, pptx, odp, xls, xlsx, ods, xml.
Mileage - Personal vehicle only
Do you have multiple locations?
 
 
Is mileage round-trip or one-way?
 
 
Did travel fall on a normal work day?
 
 
2024 Standard Reimbursable Rate - $.60/mile
Actual miles driven will be calculated in Concur using the Mileage Calculator
One file only.
20 MB limit.
Allowed types: bmp, eps, tif, pict, txt, rtf, pdf, doc, docx, ppt, pptx, odp, xls, xlsx, ods, xml.
Registration
$ 
Travel card
 
 
One file only.
20 MB limit.
Allowed types: bmp, eps, tif, pict, txt, rtf, pdf, doc, docx, ppt, pptx, odp, xls, xlsx, ods, xml.
Rental Car
$ 
Travel Card?
 
 
One file only.
20 MB limit.
Allowed types: bmp, eps, tif, pict, txt, rtf, pdf, doc, docx, ppt, pptx, odp, xls, xlsx, ods, xml.
Rental Car Gas
$ 
Travel Card?
 
 
One file only.
20 MB limit.
Allowed types: bmp, eps, tif, pict, txt, rtf, pdf, doc, docx, ppt, pptx, odp, xls, xlsx, ods, xml.
Parking
$ 
Travel Card?
 
 
One file only.
20 MB limit.
Allowed types: bmp, eps, tif, pict, txt, rtf, pdf, doc, docx, ppt, pptx, odp, xls, xlsx, ods, xml.
Tolls
$ 
Travel Card?
 
 
One file only.
20 MB limit.
Allowed types: bmp, eps, tif, pict, txt, rtf, pdf, doc, docx, ppt, pptx, odp, xls, xlsx, ods, xml.
Other
$ 
Travel Card?
 
 
One file only.
20 MB limit.
Allowed types: bmp, eps, tif, pict, txt, rtf, pdf, doc, docx, ppt, pptx, odp, xls, xlsx, ods, xml.
Other
$ 
Travel card?
 
 
One file only.
20 MB limit.
Allowed types: bmp, eps, tif, pict, txt, rtf, pdf, doc, docx, ppt, pptx, odp, xls, xlsx, ods, xml.
Other
$ 
Travel card?
 
 
One file only.
20 MB limit.
Allowed types: bmp, eps, tif, pict, txt, rtf, pdf, doc, docx, ppt, pptx, odp, xls, xlsx, ods, xml.
Per Diem
Select one of the following:
 
 
 
Were any meals provided by the conference or hotel?
 
 
Did this trip include personal travel?
 
 
Report totals
$ 
Total expenses for this trip (not including per diem)
$ 
$ 
Should we limit the reimbursement amount to the employee?
 
 
$ 
Do you need to split the total expense amount to more than one speedtype?
 
 
$ 
$ 
$ 
$ 
Email confirmation
Would you like an emailed copy of this form sent to you?