College of Sciences

Department of Chemistry

Request for Travel Reimbursement

Please note the following:

  • Hotel receipts must show a zero balance
  • If claiming per diem, receipt for food is not needed
  • Receipts are needed for airline tickets you have purchased (if not purchased on corporate card reimbursement will be made after your trip)
  • Receipts are needed for any fuel for a rental car (if driving own vehicle we will pay mileage)
  • Receipts are needed for any parking, taxis, and shuttles.
  • Receipt is needed for any registration fees you have paid for conferences or meetings.

Budget/Project #

Name of Traveler

Address where check will be sent (can not be WSU address)

Purpose of Trip

Date and time departed home
:

Date and time arrived home
:

Are you requesting per diem? (check if yes)

If yes, any days not included? Please list.

Are you requesting mileage? (check if yes)

If yes, from what point does mileage start?

If yes, from what point does mileage end?

Additional Comments

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Chemistry Department, PO Box 644630, Washington State University, Pullman WA 99164-4630, 509-335-5585, Contact Us