Transcription of PS Form 1164-E, eTravel Expense Report — Local Travel
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eTravel Expense Report Local TravelA. Report Header (Submit this Report with receipts for items over $50 that were not charged to your Travel card)1. Traveler's Name (First, MI, Last)2. Employee ID (SSN)3. Employee's Office5. Charge to Finance Reason for TripB. Nature of ExpenseC. expenses (Check one)General MeetingsDetailSpeaking EngagementProject TeamOther ExpenseTraining Course1. Personal CarDepart Date(MM/DD/YYYY)Trip Originated atDestination CityPurpose of Trip/CommentsTotalTripMilesLocalCommuteM ilesTrip MilesCharged (Totalminus Commute)PS Form 1164-E, January 2004 (Page 1 of 2)2. Taxi/LimoDateCityOriginDestinationCostCo mmentsPaid byTravel Card?YesYesNoNo3. Other Reimbursable expenses (Tolls, Gas, ATM Fees, Parking Fees, Public Transit)DateCityExpense/PurposeCostComme ntsPaid byTravel Card?
eTravel Expense Report — Local Travel A. Report Header (Submit this report with receipts for items over $50 that were not charged to your travel card) 1. Traveler's Name (First, MI, Last) 2. Employee ID (SSN) 3. Employee's Office 4. Reason for Trip 5. Charge to Finance No. B. Nature of Expense C. Expenses (Check one) General Meetings Detail
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