| Travel Reimbursement Claim Form | ||||
Original Travel Absence Number
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Invoice No |
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Order No |
Supplier No |
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Payment Due Date |
Add & Ext Chkd |
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| Note: This form IS TO BE USED to claim Travel Expenses and must quote the approved & previously submitted Travel Absence Form. For payment to third parties such as Travel Agents, please use the University's Eprocurement System or University Credit Card. For all overseas trips a copy of the itinerary must be attached. | ||||
| SECTION A - Personal Details | ||||
Last Name |
First Name |
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Depart Date |
Return Date
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Student No |
Employee No |
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Unit |
Destination |
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| Note: Where funding is to be split between various Cost Centres, please attach full details. | ||||
| SECTION B - Reimbursement of Actual Expenses | |||
| This is for costs you incurred whilst traveling. | |||
| Original receipts or other documentation (eg. credit card statement) must substantiate these payments. Payment will be made through the payroll system but are not classified as assessable income & therefore will not appear on a Payment Summary. Claims for reimbursement which are not supported by original receipts/documentation will be paid as a Grant in Aid (see Allowances). Employees should seek professional advice regarding taxation issues. Please list travel claims in this section that DO NOT have a GST component or has a GST component that is not refundable (eg overseas reimbursement) |
TYPE |
CODE |
COST CENTRE |
OBJECT |
AMOUNT $ |
PROCESSED DATE |
|
Accommodation |
ACCOM |
6535 |
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Airfares |
AIRFA |
6530 |
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| Car Hire | CARH |
6541 |
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| Conference Rego | COFR |
6510 |
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| Petrol | PETR |
6550 |
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| Parking | PARK |
6550 |
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| Tolls | TOLL | 6550 |
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| Meals | MEAL | 6536 |
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| Car Allowance* | AKILO | 6515 |
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| Other | OTHER | 6550 |
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* Engine Capacity |
Kilometres travelled |
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| Please use this section to claim reimbursements of travel expenses that have a GST component. Please include in the reimbursement the GST amount. | ||||||
TYPE |
CODE |
COST CENTRE |
OBJECT |
AMOUNT $ |
PROCESSED DATE |
|
| Accommodation | GACCO |
6535 |
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| Airfares | GAIRF | 6530 |
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| Car Hire | GCARH | 6541 |
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| Conference Rego | GCOFR | 6510 |
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| Petrol | GPETR | 6550 |
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| Parking | GPARK | 6550 |
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| Tolls | GTOLL | 6550 |
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| Meals | GMEAL | 6536 |
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| Car Allowance* | GAKIL | 6515 |
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| Other | GOTHE |
6550 |
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* For car mileage allowances, please refer to http://staff.uow.edu.au/personnel/salary/UOW015963.html |
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Allowances: This is for allowances that are payable to you to assist you with travel costs you incurred. All allowances (excluding Per Diems) will be recorded on PaymentSummaries (Group Certificates). |
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TYPE |
CODE |
COST CENTRE |
OBJECT |
AMOUNT |
INIT |
DATE |
| Grant in Aid | AGIA |
6525 |
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| Meal Allowance | AML04 |
6640 |
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| Per Diem (International) | PDIMI |
6520 |
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Per Diem (Domestic) |
PDIMD |
6520 |
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| Per Diem rates refer http://staff.uow.edu.au/personnel/salary/ | ||||||
| For all overseas trips a copy of the itinerary must be attached. Nominate number of days to be paid only. | ||||||
Number of Per Diem days to be paid |
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| Note: Per Diem calculations will be made by Personnel Services based on current allowance and exchange rates. | ||||||
| SECTION C - Authorisation | |||||
| i agree that these claims for reimbursement and/or allowances are bona-fide and in accordance with University policy. | |||||
| Claimant's Signature | ___________________ | Date | _______ | ||
| Approved by | _____________________ | Date | _______ | ||
| Full Name | |||||
| Head of Unit's approval required for travel in Australia. Dean's approval required for overseas travel. | |||||
| PER-SS-FRM-020 | Travel Reimbursment Form 2007 Jan |