FINANCIAL SERVICES /
TRAVEL DIARY DECLARATION FORM Edited 4th April 2016
Purpose of Form
To eliminate the University’s potential Fringe Benefits Tax (FBT) liability by establishing that the travel was for University business.
NOTE: if the private portion of your travel is over 30%, your required contribution is 50% of the air fares associated with the journey to eliminate any FBT liabilities. For more information and how to make your contribution, refer to the Private Travel & FBT webpage (http://www.adelaide.edu.au/finance/fin-services/taxation/privatetravel/)
When should the form be completed?
· when travelling within Australia for more than 5 consecutive nights in duration
· for all International Travel
Each day of travel must be accounted for whether business or private. If a completed travel diary is not submitted, all travel costs will be subject to Fringe Benefits Tax and Payroll Tax.
Name: ______
Employee ID: ______
Faculty/Division: ______
Date Departed: ______Date Returned: ______
Description of Trip: ______
Example:
Date/s / Place of Activity(e.g. Paris, France) / Time Started / Time Finished / Nature of Activity
(e.g. French Education Expo) / Business (B) or Private (P)
1-2/02/2012 / Travel from Adelaide to Paris / 2pm / 7am / Travel / B
3-7/02/2012 / Paris / 9am / 5pm / French Education Expo / B
7-8/02/2012 / London / All day / Private / P
9-10/02/2012 / Travel from London to Adelaide / 6pm / 7am / Travel / B
Date/s / Place of Activity
(e.g. Paris, France) / Time Started / Time Finished / Nature of Activity
(e.g. French Education Expo) / Business (B) or Private (P)
Date/s / Place of Activity
(e.g. Paris, France) / Time Started / Time Finished / Nature of Activity
(e.g. French Education Expo) / Business (B) or Private (P)
Declaration: I declare the above details are correct and that the University has only paid for University business expenses in relation to my travel.
Signature: ______Date: ______
Email to: or send original to: Senior Taxation Accountant, Financial Services (Level 3, 50 Rundle Mall Plaza, Adelaide)
The current official version of this form is maintained on the Financial Services website. If this form has been downloaded or printed, it may not be the official version. Page 2 of 3