Expense Report Information Form Please submit this filled form with information about your recent travel. As soon as you provide this information, we can begin your report. The more thoroughly you complete this form, the quicker we can process your reimbursement. If information is missing from the form, we will have to re-contact you, slowing your reimbursement. General information: Traveler’s name: Request name (available in Concur): Expenses: Please send this form alongside copies of the following expense receipts. 1. Airfare 2. Hotel (receipt must be itemized) 3. Rental car 4. Conference registration fee (N/A if paid with a P-card) 5. Transportation (I.e., Uber, taxi, train, etc.) 6. Parking fees 7. Miscellaneous expenses 8. Please send a copy of your conference agenda, if applicable. Schedule: 1. Departure time and date (from your home): 2. Arrival time and date (to your home): Mileage: If you drove to the airport from your home, you may be eligible for mileage reimbursement. If you would like to be reimbursed, please answer the following questions. 1. Home address: 2. Airport you drove to: Additional information: 1. If your travel was funded by a sponsored research project, please provide a statement about how the travel aided the scope of work of the project below. Personal travel: If part of your trip included personal travel, please answer the following questions. Otherwise, you may disregard this section. 1. Dates of personal travel: to 2. If you have personal travel dates, a front office staff member will contact you about any additional information that they may need to process your reimbursement. FLORIDA STATE UNIVERSITY CENTER FOR ADVANCED POWER SYSTEMS 2. If your travel expenses were split between two budgets, please explain how your expenses should be allocated. 3. Is there anything else that we should know about this trip, such as flight cancellations, late arrival fees, etc.? Thank you for completing the travel expense form. Please note that all expense reimbursements are subject to final approval from the Controller's Office. An employee from the front office will contact you when your expense report is ready to submit. Please make sure that Aoife Trotter, Rachel Brouwer, Sumanth Reddy Karri, and Angelina L a n h are added to your Concur account as delegates before returning this form. If you have any questions or would like to check on the progress of your reimbursement, please contact us at: travel@caps.fsu.edu. FLORIDA STATE UNIVERSITY CENTER FOR ADVANCED POWER SYSTEMS 2000 Levy Avenue, Suite 140, Tallahassee, FL 32310 850.644.1035 • Fax 850.644.7456 • www.caps.fsu.edu