NORTHERN KENTUCKY UNIVERSITY

STUDENT GROUP/INDIVIDUAL STUDENT TRAVEL VOUCHER

 

Group/Individual Name (1)                                  Department (2)                                 

 

Purpose of Trip (3)                                                     Advisor (4)                                        

Date(s) of Travel (5)                                                  Destination (6)                                  

Time of Departure (7)                                                Time of Return (8)                            

 

Number of students and advisor(s) on trip:  Students (9)              Other (10)             
***Attach list of students and advisor(s) who accompanied group***

       (11)

Subsistence Chart (Overnight Stay Required for Subsistence Reimbursement)

Must be in travel status at least these hours:

KY & US (Low Rate)

US (High Rate)

6:30a.m. – 9 a.m.

Breakfast

$7

$8

11 a.m. – 2 p.m.

Lunch

$8

$9

5 p.m. – 9 p.m.

Dinner

$15

$19

Do not claim meals included in registration fees.

 

(12) List costs for each day – Receipts much be attached on 8 ½” X 11” paper

DATE

 

 

 

 

 

TOTALS

Mileage – if applicable

 

 

 

 

 

___ x     *

Airline – if applicable

 

 

 

 

 

 

Hotel – if applicable

 

 

 

 

 

 

Breakfast

 

 

 

 

 

 

Lunch

 

 

 

 

 

 

Dinner

 

 

 

 

 

 

Other Expenses (List)

 

 

 

 

 

 

TOTALS

 

 

 

 

 

 

*Please see the Mileage Reimbursement Rate for the current rate per mile.


 

(13) REIMBURSEMENT ONLY

I request $                 on the attached Request for Check #                which is approved by my advisor.

 

 

    (14) CASH ADVANCE ONLY

    Amount of Advance ______________

    Total Receipts Returned ___________

    Balance/cash deposited ____________

  (If balance is a negative figure, attach    Request for Check for difference.)


 

RETURN COMPLETED VOUCHER AND CASH (ADVANCES ONLY) WITHIN SEVEN (7) DAYS OF TRIP. 

Date                                                       Signature (15)                                                          

 

 

INSTRUCTIONS

 

(1)         Name of group/student traveling

(2)         Department the faculty/staff advisor reports to

(3)         Reason for travel

(4)         Faculty/staff advisor approving trip

(5)         Beginning and ending dates of trip

(6)         Final destination point

(7)         Time leaving origin

(8)         Time returning to origin

(9)         Total number of students traveling

(10)     Total number of advisors accompanying the group

***Please attach list of all individuals included in (9) and (10).***

(11)     Subsistence chart.  Reimbursement is limited to per diem rates listed.

(12)     List all costs.  Tape receipts for these costs to an 8 ½” X 11” page and attach to travel form.

(13)     For reimbursement, attach this form to a Request for Check.

(14)     This section is for cash advances.

(15)     Signature of traveler.