Miscellaneous Expense Report

Reimbursement (Non-Travel)

Department of Biological Sciences Miscellaneous Expense Report
Prepared by: * Required
First Last
Email * Required
Date * Required
MM slash DD slash YYYY
Name * Required
First Last
Employee ID * Required
Description of Expense * Required
Employee Reimbursement Request * Required
Expense Type: Car wash, Copies/Faxes/Scans, Field Supplies, Lab Supplies, Office Supplies, Parking, Personal Vehicle Mileage, Postage and Shipping, Registration Fees, and Misc
Expense Type Employee Paid Amount Fund Number (4 digits) Dept Number (5 digits) Cost Center Number (7 digits) Project Number (10 digits)
Total * Required
Receipts * Required
Max. file size: 10 MB.
Receipt Policy * Required
I have checked my receipts have all of the four REQUIRED information on all my reciepts
Pictures of receipts must include the following:
- Date

- Amount
- Vendor Name (i.e. Sinclair, Shell, Walmart)
- Payment Method
last 4 digits of the payment method i.e. Card ending in 1234 or an indication of other funds, ie cash, check
OR
a snippet from a banking statement showing the charge posted to that account (requires last 4 digits of the payment method listed on the snippet)
please block out all other information unrelated to the charge (ie other purchases or confidential information)

If the receipt is difficult to obtain, please take pictures of the cost advertised and the name of the business. If purchases cannot be verified, we may encounter difficulties trying to get your reimbursement approved. We can provide assistance for missing receipts, but please notify us as soon as possible.
Notes:
You must provide ALL RECEIPTS. When form is complete, send to BIOL-FORMS@BOISESTATE.EDU

Expense Type	Employee Paid Amount	Fund Number (4 digits)	Dept Number (5 digits)	Cost Center Number (7 digits)	Project Number (10 digits)

Miscellaneous Expense Report

Department of Biological Sciences Miscellaneous Expense Report

Department of Biological Sciences