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Math Post Travel Worksheet
Math Post-Travel Worksheet
"
*
" indicates required fields
Requestor's Name
*
First
Last
Requestor's Email
*
Is this travel for a current CSU employee?
*
Yes
No
Are you the traveler?
*
Yes
No
Traveler's Name
*
First
Last
Traveler's CSUID#
*
Traveler's Permanent Address
*
REIMBURSEMENTS WILL BE MAILED TO THIS ADDRESS
City
*
USE ACCURATE, PERMANENT ADDRESS TO AVOID DELAYS
State
*
Zip Code
*
Traveler's Email
*
Your Cell Phone
*
Traveler's Cell Phone
*
US Citizen/Permanent Resident?
*
Yes
No
If not a US resident, what is your country of citizenship?
*
*If it is determined that more information is needed the traveler will be emailed directly with a link to register with Glacier.
CSU Host Name
*
You are?
*
Faculty
Postdoc, Research Scientist or Research Associate
Administrative Staff
Student
Traveler Is?
*
Faculty
Postdoc, Research Scientist or Research Associate
Administrative Staff
Student
Traveler Is?
*
Grant Participant
Guest Speaker
Recruit
Destination(s) – include city and state for all aspects of this business related travel
*
Date of Departure
*
MM slash DD slash YYYY
Return Date
*
MM slash DD slash YYYY
Was there a pre-trip associated with this request?
*
A pre-trip request is required for international travel before departure.
Yes
No
Were any personal days taken during this trip?
*
Please keep in mind, travel days, typically the day before and the day after a business event, are NOT considered personal days.
Yes
No
Which days?
*
Travel is
*
In state
Out of state
International
CSU Account Number (7 digits)
*
Purpose and justification. *When using a 53- account, please include how this travel specifically relates to the sponsor’s project.
*
Meal Reimbursement (not allowed for mileage-only day trips)
*
Per diem rates are set and capped by the US General Services Administration
Providing Meal Receipts
Requesting Per Diem
Exact Amount of Per Diem Requested
No Meal Reimbursement Requested
Total per diem requested for this trip?
*
Please upload your meal receipts along with the rest of your receipts at the bottom of this form.
Meal Receipts Amounts Requested
Date (MM/DD/YYYY)
Breakfast ($)
Lunch ($)
Dinner ($)
Add
Remove
Per Diem Meals Requested
Date (MM/DD/YYYY)
Breakfast
Lunch
Dinner
Per Diem Requested
Meal Provided/No Per Diem Requested
Per Diem Requested
Meal Provided/No Per Diem Requested
Per Diem Requested
Meal Provided/No Per Diem Requested
Add
Remove
If you shared LODGING with someone else recieving reimbursement, please provide name(s):
Include receipts/payment information at end of form.
Other Reimbursable Expenses
Airfare expense
Personal Vehicle (# of miles)
Note: mileage includes fuel in calculation; Google map documentation required for mileage other than to/from DIA.
Lodging
Registration Fee
Rental Car
Enterprise, Budget, Hertz only
Taxi/Shuttle
Google Map Link
DIA STANDARD MILEAGE IS 140 MILES ROUNDTRIP. INCLUDE GOOGLE MAP DIRECTIONS FOR ALL OTHER MILEAGE CLAIMS. THE MOST DIRECT ROUTE IS ELLIGIBLE PER CSU FPI.
Miscellaneous Expenses
Items (parking, tolls, train, bus)
Receipts/proof of payment required for all expenses greater than $25.
Item Description
Cost ($)
Add
Remove
Please upload PDF(s) of all receipts
*
Drop files here or
Select files
Accepted file types: pdf, Max. file size: 40 MB.
Untitled
