Travel expenses should be reported within 30 days of return. Read here for more information on receipts to include. Contact Information Name E-mail Are you an employee of UC Davis? Yes. No, I'm a Visitor/Non-employee. For Visitor/Non-Employee Only Once you have completed this form, and it has begun processing, you will be notified via email for an electronic signature. Important: The address you provide should be a valid mailing address, where the reimbursement check will be sent. US CitizenYesNo Visitor Phone Visitor Home Address General Information Date of Departure123456789101112:000102030405060708091011121314151617181920212223242526272829303132333435363738394041424344454647484950515253545556575859AMPM Date of Return123456789101112:000102030405060708091011121314151617181920212223242526272829303132333435363738394041424344454647484950515253545556575859AMPM Trip RegistrationDid not register tripBooked in AggieTravelSelf registered with UC Away Trip Destination (city/state or region/country) Purpose of Travel Travel and Lodging Expenses Indicate travel and lodging expenses below, choosing what type of expenses they are as appropriate, and the initial date the cost was incurred. Airline, lodging, rental car, and registration expenses require receipts. Other transportation expenses over $75 require receipts. (Bus, train, taxi, etc.) TypeDateAmountChoose Expense TypeAirfareBusTaxiTrainBaggage FeesRental CarTollsParkingChoose Expense TypeAirfareBusTaxiTrainBaggage FeesRental CarTollsParkingChoose Expense TypeAirfareBusTaxiTrainBaggage FeesRental CarTollsParkingChoose Expense TypeAirfareBusTaxiTrainBaggage FeesRental CarTollsParkingChoose Expense TypeAirfareBusTaxiTrainBaggage FeesRental CarTollsParkingChoose Expense TypeAirfareBusTaxiTrainBaggage FeesRental CarTollsParkingChoose Expense TypeAirfareBusTaxiTrainBaggage FeesRental CarTollsParking Personal Car Mileage x $0.54 per mile Does the car driven have liability insurance?Not ApplicableYesNoUnknown Lodging Lodging Dates Registration Fee Other Travel/Lodging Fees or Comments Meals and Incidentals Amount must be entered each day for which an expense is claimed. Maximum daily amount for domestic travel is $62, based on actual expenses. Averaging cost across days is not allowed. Meals and Incidentals can only be claimed if travel is overnight or longer. Alternatively, per diem rates may be used for foreign travel, or for domestic trips longer than 30 days. Read campus policy about Per Diem. DateAmountDateAmountDateAmount Accounts and Receipts Account to be Charged E-mail of Account Owner (if different from submitter) Additional Information or Comments Please upload receipts for Airfare, Lodging, Local Transportation and Rental Car Expenses, Authorization for use of travel funds, and Flier/Agenda from Event. Airline, lodging, rental car, and registration expenses require receipts. Other expenses over $75 require receipts. (Bus, train, taxi, miscellaneous) Read here for more information on receipts to include. You may include single or multiple receipts in a single photo or scan, and/or upload electronic receipts. Please make sure the receipts are legible before submitting. Receipt 1 Receipt 2 Receipt 3 Receipt 4 Receipt 5 Receipt 6 Receipt 7 Receipt 8
