UOW
Travel Reimbursement Claim Form
 
Original Travel Absence Number
Invoice No
 
Order No
Supplier No
 
Payment Due Date
Add & Ext Chkd
 
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
 
Depart Date
Return Date
 
Student No
Employee No
 
Unit
Destination
 
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
 
Airfares
AIRFA
6530
 
Car Hire
CARH
6541
 
Conference Rego
COFR
6510
 
Petrol
PETR
6550
 
Parking
PARK
6550
 
Tolls TOLL
6550
 
Meals MEAL
6536
 
Car Allowance* AKILO
6515
 
Other OTHER
6550
 
* Engine Capacity
Kilometres travelled
 
             
 
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
 
Airfares GAIRF
6530
 
Car Hire GCARH
6541
 
Conference Rego GCOFR
6510
 
Petrol GPETR
6550
 
Parking GPARK
6550
 
Tolls GTOLL
6550
 
Meals GMEAL
6536
 
Car Allowance* GAKIL
6515
 
Other
GOTHE
6550
 
             

* For car mileage allowances, please refer to http://staff.uow.edu.au/personnel/salary/UOW015963.html

 
           
           
           
           
           
           
           
           

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).

TYPE
CODE

COST CENTRE

OBJECT
AMOUNT
INIT
DATE
Grant in Aid
AGIA
6525
Meal Allowance
AML04
6640
Per Diem (International)
PDIMI
6520
Per Diem (Domestic)
PDIMD
6520
             
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
     
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