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

Guest/Candidate Name

Event Date

MM

DD

YYYY

Attendance

Please list all other meal participants, including yourself

Vendor Name

Departure Date

MM

DD

YYYY

Time of Departure

When did you leave Boise?

HH

:

MM

AM/PM

Return Date

MM

DD

YYYY

Time of Arrival

When did you arrive back in Boise?

HH

:

MM

AM/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.

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: 10 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: 10 MB.

Name

This field is for validation purposes and should be left unchanged.

ECE Expense Reimbursement

Reimbursement Form

Electrical and Computer Engineering