Voucher # ___________

(To be completed by

Comptroller’s Business Office)

Illinois State University

Reasonable Justification for Late Submission of Travel Expenses

Travel Vouchers Submitted More than Sixty Days after Completion of Travel

Complete requested information, obtain signatures and submit with Travel Voucher

1) Traveler’s Name: ________________________________________

2) Traveler’s UID: _________________________________________

3) Dates of Travel: Beginning: _________ Ending: _____________

4) Date Travel Voucher submitted to Comptroller’s Office: _________

5) Amount of Travel Voucher: ________________________________

6) Reasonable Justification for Late Submission of Travel Expenses:

Please explain the facts and circumstances relating to why the travel voucher is being submitted more than 60 days after the completion of travel.

I certify that the above statement is true and correct.

Traveler’s Signature _________________________ Date __________

Fiscal Agent Signature ________________________ Date __________

Comptroller’s Business Office Action on Request:

( ) I approve the request for an exception to the IRS 60 Day Rule for the travel voucher listed above.

( ) I do not approve the request for an exception to the IRS 60 Day Rule for the travel voucher listed above.

Signature: _________________________________ Date __________