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  5. Business Expense Reimbursement Form

Download Business Expense Reimbursement Form for Free

Business Expense Reimbursement Form is a document used to reimburse expenses for business purposes. Expense Reimbursement is a kind of welfare the company offers to its employees. To confirm the expense and for financial purpose, a written form is necessary. This template consists of three parties: MEAL EXPENSES, OTHER BUSINESS EXPENSES, and LOCAL AUTO MILEAGE & PARKING & TOLLS.

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Payee Name Preparer Telephone Date Prepared
Dept Name Prepared By
Address* Status Employee Send Check to:
City, St, Zip Student
Employee ID** Other (list at right)
Date Amount
-$
Date Amount
-$
Date
From To Total Miles Parking & Tolls Amount
-
-
-
-$
APPROVALS
-$
Employee/Payee
Signature*:
Date Account
Project/Grant (if
required)
Amount
Supervisor (print name) -$
Supervisor Signature: Date
Dept Chair/Dean/VP: Date
BFO/Asst Dean: Date
SPA (grants): Date
Refer to the online Business Expense policy at: 1/14
http://finance.tufts.edu/accpay/?pid=4
-$
-$
LOCAL TRAVEL TOTAL
MEAL EXPENSES
Business Purpose of Meal
Type of Expense
Business Expense Reimbursement Form
Where held (restaurant, etc)
Business Purpose
OTHER BUSINESS EXPENSES
OTHER TOTAL
LOCAL AUTO MILEAGE & PARKING & TOLLS
.56/Mile
Business Purpose
Return completed form with proper approvals & original receipts to: Accounts Payable, TAB, Medford Campus
APPROVAL SIGNIFIES COMPLIANCE WITH UNIVERSITY POLICIES & PROCEDURES. IN ADDITION, IF GRANT FUNDED,
IN ACCORDANCE WITH FEDERAL COST PRINCIPLES AND SPONSORED AGREEMENT GUIDELINES, THERE ARE NO
UNALLOWABLE COSTS (I.E. ALCOHOL, ENTERTAINMENT ETC.) CHARGED TO GRANTS.
-$
DeptID
MEAL EXPENSES TOTAL
**7 digit field required for employees
*Campus address
should be used for
employees
Business Expense Reimbursement Form
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