Travel Reimbursement * NAME First Last * NetID * PURPOSE OF TRAVEL Conference with Paper Conference with Poster Conference Meeting Personal Consulting * NAME OF CONFERENCE, MEETING, WORKSHOP, ETC. * DESTINATION(S) * 1 - ACCOUNT NUMBER Please provide the university account or name you will use for travel. * DATE FROM Date HH MM AM PM Please provide the time you departed Champaign-Urbana * DATE TO Date HH MM AM PM Please provide the time you returned to Champaign-Urbana AIRFARE COST $ Format Example: 625.00 BAGGAGE FEES $ AIRFARE ITINERARY/RECEIPT BOARDING PASSES BAGGAGE CHECK PAID WITH OWN CARD PAID WITH TCARD Please check all that apply and upload (bottom of page) or provide these documents to your proxy for travel reimbursement. LODGING COST $ Format Example: 275.00 LODGING CONFERENCE HOTEL OTHER HOTEL RECEIPT SHARED ROOM PAID WITH OWN CARD PAID WITH TCARD Please upload (bottom of page) or provide these documents to your proxy for travel reimbursement. If you shared a room with another person, please use NOTES to provide the name. REGISTRATION COST $ Format Example: 450.00 REGISTRATION RECEIPT PAID WITH YOUR OWN CARD PAID WITH PCARD Please upload (bottom of page) or provide hard copies these documents to your proxy for travel reimbursement. MILEAGE / PERSONAL CAR YES NO MILEAGE DATE AND TIME (Departed Champaign-Urbana): Date HH MM AM PM MILEAGE DATE AND TIME (Arrived back in Champaign-Urbana): Date HH MM AM PM ADDRESS FROM Use for personal mileage. From Base (ECEB), etc. ADDRESS TO Use for personal mileage. Where did you go? CARPOOL YES, I Drove YES, I Rode WHO RODE WITH YOU? WHO DID YOU RIDE WITH? CAR RENTAL YES NO CAR RENTAL AMOUNT $ Format Example: 125.00 | Upload or turn in receipt GAS RECEIPT TOTALS $ Format Example: 36.75 | Upload or turn in receipts MISCELLANEOUS EXPENSES YES NO Parking, Taxis, Tolls, Train, Bus, Etc MISCELLANEOUS EXPENSES PARKING TAXI TOLLS TRAIN BUS Upload or turn in receipts MISCELLANEOUS TOTALS $ Format Example: 125.00 * MEALS/PER DIEM YES NO Per diem is a daily travel meal allowance and includes taxes and tips. In order to be eligible for per diem, University of Illinois System employees must be in travel status on approved business travel that includes an overnight stay. Per IRS guidelines, per diem is not provided for intra-day (same day) travel. https://www.obfs.uillinois.edu/travel/reimbursement-rates/meal-per-diem-reimbursement-domestic-travel/ MEALS PROVIDED - DAY 1 BREAKFAST LUNCH DINNER MEALS PROVIDED - DAY 2 BREAKFAST LUNCH DINNER MEALS PROVIDED - DAY 3 BREAKFAST LUNCH DINNER MEALS PROVIDED - DAY 4 BREAKFAST LUNCH DINNER MEALS PROVIDED - DAY 5 BREAKFAST LUNCH DINNER MEALS PROVIDED - DAY 6 BREAKFAST LUNCH DINNER MEALS PROVIDED - DAY 7 BREAKFAST LUNCH DINNER UPLOAD FILES HERE Allowed file extensions are pdf, jpg, gif. Max file size is 5 MB. UPLOAD FILES HERE Allowed file extensions are pdf, jpg, gif. Max file size is 5 MB. UPLOAD FILES HERE Allowed file extensions are pdf, jpg, gif. Max file size is 5 MB. UPLOAD FILES HERE Allowed file extensions are pdf, jpg, gif. Max file size is 5 MB. UPLOAD FILES HERE Allowed file extensions are pdf, jpg, gif. Max file size is 5 MB. UPLOAD FILES HERE Allowed file extensions are pdf, jpg, gif. Max file size is 5 MB. NOTES Please provide more specific information about your travel here.