Information needed for an In-State Travel Voucher to be processed.

TRIP INFORMATION:
(Office use only) Trip Number: Number is automatically assigned by the OSU system.
Name:
Account Number: / If NOT a PaSS account indicate which department:
CWID: / Your E-mail Address:
Date and Time
Date / Time / AM or PM
Trip Start Date and Time:(Date and time you plan/actually left Stillwater.)
Trip End Date and Time:(Date and time you plan/actually returned to Stillwater.)
Nature of Official Business:
Date and Time
Date / Time / AM/ PM
Meeting Start Date and Time:(First act of business – not necessarily your presentation)
Meeting End Date and Time:(Last act of business – not necessarily your presentation)
Destination (City and State):
TRANSPORTATION:
Transportation/Mileage:
Mode of Transportation:
Tag# Required / Tag# Required / Mileage
OSU Vehicle / Personal Vehicle / Personal Vehicle Mileage
Rode with someone. Yes/No / Who? / Parking Fees / Toll Road Fees / Other Fees
LODGING/PER DIEM
Lodging/PerDiem: Attach documentation from conference showing designated hotel and conference room rate, when no designated hotel use the GSA website rates plus taxes (http://gsa.gov/portalcontent/104877).
How was your lodging paid for?
Yes/No / Yes/No / Yes/No
P-Card (Faculty Only (unless you have written permission from faulty)) / Personal Credit Card/Check/Cash / Direct Bill
Lodging was paid by someone else: (Please Explain)
ActualCost
Lodging Amount:(You must have a hotel receipt with your name on it and a zero balance. Even if paid with P-Card)
Internet Charge from hotel:
Per Diem (Meals): You can keep your receipts and use that amount for reimbursement or you can use the state per diem rate. Please indicate which you choose to use.
Yes/No / Yes/No
I prefer to turn in receipts / Use State per diem
REGISTRATION
Registration: Must have a meeting registration receipt with your name on it. (even if paid with P-Card)
Yes/No / Yes/No
Registration Amount: / Registration paid by OSU P-Card / Registration paid by Personal Credit Card/Check/Cash
Registration was paid by someone else: (Please Explain)
Yes/No / How Many?
Were Meals included in the Registration Amount? / If yes how many meals were included?
ADDITIONAL ITEMS REQUIRED TO AQCCOMPANY YOUR TRAVEL CLAIM
Meeting Agenda must be attached, which should include the name of the meeting, date, time, location (city and state), and the registration fee. The first thing you did, your presentation and the last thing you did.
Designated Lodging Rate documentation showing designated hotel and lodging rate must be attached if applicable.
Receipts attach all required receipts.
If this is a mileage only voucher for several trips please attach your mileage form.
Reminder: you only get reimbursed for expenses up to 24 hours before a meeting and 24 hours after a meeting.
PLEASE KEEP AND TURN IN ALL RECEIPTS! DO NOT USE A HIGHLIGHTER ON RECEIPTS.