ECE Expense Reimbursement

Name * Required
BSU ID Number * Required
Email * Required
Expense Type * Required
- Guest Meal
- Materials Purchase
- Travel Expenditure
- Other
Business Purpose * Required
Provide details to clarify the business purpose of this expense
Funding Source * Required
- Department Funds (with approval only)
- Discretionary Funds (cannot be used for meals)
- Lab Fees (with approval only)
- My Local Account
- Professional Fees (with approval only)
- Other

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Departure Date - must be mm/dd/yyyy format
MM slash DD slash YYYY
Time of Departure
When did you leave Boise?

Hours :

Minutes

AM/PMAM/PM
Return Date - must be mm/dd/yyyy format
MM slash DD slash YYYY
Time of Arrival
When did you arrive back in Boise?

Hours :

Minutes

AM/PMAM/PM
Destination
City, State (or City, Country if international)
Expense Details
Itemize expenses to be reimbursed (e.g. lodging, airfare, transportation, etc)
Expense Description Amount Comment
Meals
Please note any meals provided at no cost to you during your trip
Personal Travel
If any portion of your trip was personal, please note time and date that the personal travel began/ended.

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Receipt Upload * Required
Scan your receipt(s) and attach them here. Reimbursement requests cannot be processed without itemized receipts.
Drop files here or

Max. file size: 24 MB.
Notes
Is there anything else we need to know about this reimbursement request?
Share Files
Have other files to share? Add them here. NOTE: Itinerary required for travel reimbursement requests which include personal travel.
Drop files here or

Max. file size: 24 MB.
Comments
This field is for validation purposes and should be left unchanged.

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Reimbursement Form

Expense Description	Amount	Comment