Travel Voucher Worksheet

** For NCEAS Employees **

Travel Voucher Worksheet for NCEAS Residents

NationalCenter for Ecological Analysis and Synthesis

Name

Purpose and Destination of your trip: To represent NCEAS at

E-mail or Home Institution UCSB/NCEAS

Mailing Address NCEAS Other:

Funding Source (if known)

Yes NoDid you receive a Travel Advance for this trip? If so, specify amount:$0.00

Please tell us how you would like your reimbursement paid:

Check Corporate CardDeposit to bank account used for Surepay payroll deposits

Travel Dates

Departure from your homeDate (MM/DD/YY)Time (12:00 PM)

Return toyour homeDate (MM/DD/YY) Time (12:00 PM)

Personal time (if any)Dates and special notes

If you did not travel directly to/from the destination listed above, please explain and attach supporting documents.

Transportation(Must be accompanied by original receipts.)

Air (Attach original itinerary or passenger receipt showing proof of payment.)$0.00

Private car: License plate numberMileage

Yes NoDoes your car have Liability Insurance?

Taxi/shuttle$0.00Optional description

Parking$0.00Optional description

Bus/train$0.00Optional description

Other$0.00Optional description$0.00

Lodging and Other Expenses

YesNoDid NCEAS pay the hotel directly for your stay?

If no, at which hotel did you stay? (Provide an itemized bill.)$0.00

Registration Fees (Attach original receipts.)$0.00

Meals and Incidentals

Complete the Meal Reimbursement Worksheet (attached).$0.00

Estimated Reimbursement (This will vary based on your situation; excludes mileage and other reimbursement.)$0.00

Additional Reimbursement

If you will receive reimbursement from any other sources, please list the organization, what they are reimbursing, and how much?

I certify that the expenses claimed above were incurred by me on official University business on the dates indicated.

Signature:______Date:

Please submit this completed worksheet to Ginger Gillquist within 5 days of your return.
Meal Reimbursement Worksheet

List actual dollar ($) amount paid for meals. The maximum allowance is $55.00 per day.

UCSB/NCEAS Employees:

When traveling outside of Santa Barbara, UCSB/NCEAS employees can claim all meal expenses and do not need to provide receipts.
When claiming meal reimbursement associated with a working group in Santa Barbara, UCSB employees can claim only lunch and dinner expenses associated with working group meals. To comply with UCSB policy for such meals, employees must submit original, itemized receipts, showing food items purchased and excluding alcohol. If receipts are lost, write to for a “Missing Receipt” form. Credit card receipts are not acceptable proof of payment.

If you pay for others’ meals, do not claim their meals on this worksheet. Ask them to reimburse you directly and claim their expense on their worksheets.

DateBreakfastLunchDinnerTotal

(Not UCSB employees when in SB)(≤$55)

$0.00$0.00$0.00$0.00

$0.00$0.00$0.00$0.00

TOTAL$0.00