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DOCUMENT #
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EXPENSE REPORT/ACCOUNTABLE ADVANCE SETTLEMENT
ACCOUNTING INFORMATION
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TO BE COMPLETED BY CLAIMANT
TO BE COMPLETED BY BUSINESS OFFICER
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Purpose: Select claim type. Enter code, below, to complete G/L account. If G/L account is not listed, enter appropriate G/L account on "OTHER" line.0
EMPLOYEE FIELD TRIP
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NOTE:
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EMPLOYEE CONFERENCE
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1.For expense reimbursements in a currency other than CAD,
DO NOT convert expenses to CAD value. 		2
STUDENT FIELD TRIP
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REIMBURSE BY CHEQUE3
STUDENT CONFERENCE
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PERIOD OF EXPENDITURES:
Indicate reimbursement currency:
4VISITOR
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LAST NAME:FIRST NAME:2.
ORIGINAL RECEIPTS ARE REQUIRED (INCL. DETAILED BILLS, BOARDING PASS)
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MAILING ADDRESS:
EXPENSE CATEGORIES
GENERAL LEDGER
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Summary of non-refundable itemsTax
Code		Cost
Centre		 Internal
or Order		Fund
Centre		Commitment
Item
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AMOUNTG/L ACCOUNT NUMBERFund
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AIRFARE: Attach proof of payment & proof of air travel (*)
Travel within Canada
 84010ER
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Travel to USA from Ontario
 84010EE
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Purpose and Relevance to University Business:
All other Airfare
 84010E0
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ACCOMMODATION:
ON (13% HST)
 84020ER
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PEI, NS, NF, NB (15%HST)
 84020EN
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DEPARTMENTAL CONTACT & DEPARTMENT (incl. address):
All other provinces / territories
 84020EE
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Dept of Immunology
USA / International
 84020E0
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Immunology, 1 King's College Circle, Medical Sciences Building, Room 7205ALLOWANCES:PER DIEM: 84030EA
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PER DIEM (outside Canada)
 FALSE 84030E0
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 0.0 KMS X 0.47/km 84040EA
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Email:RAIL/BUS:
WITHIN CANADA
84050ER
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reimbursement.immunology@utoronto.ca
OUTSIDE CANADA
 84050E0
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DATE PREPARED:PUBLIC TRANSIT:
WITHIN or OUTSIDE CANADA
 84055E0
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Wed 14-Oct-2026CAR RENTAL: Attach detailed receipt & contract (*)
ON (13% HST)
 84060ER
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PEI, NS, NF, NB (15%HST)
 84060EN
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All other provinces / territories
 84060EE
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CLAIMANT DECLARATION: I certify that I have incurred the expenses claimed, they are in compliance with University policies & procedures, all sponsor terms and conditions (if applicable), & have not been claimed through other sources.
USA / International
 84060E0
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MEALS: Attach detailed itemized receipts (*)
ON (13% HST)
 84070ER
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PEI, NS, NF, NB (15%HST)
 84070EN
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All other provinces / territories
 84070EE
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USA / International
 84070E0
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TAXI:
ON (13% HST)
 845000ER
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PEI, NS, NF, NB (15%HST)
 845000EN
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Signature of Claimant
All other provinces / territories
 845000EE
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USA / International
 845000E0
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OTHER COSTS:
HOSPITALITY / Meals in Toronto
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NameTitle
Conference
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AUTHORIZED APPROVAL Declaration: I certify the expenses claimed were reasonable & required for University business & (if applicable) are relevant to the research being funded.
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Signature of Approver
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NameTitle
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For AA Settlements: Financial Services (original copy)
Originating department (photocopy)
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TOTAL EXPENSES
Air Miles Calculator website@
Air Mile Calculator
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(LESS ACCOUNTABLE ADVANCE)
(*) Refer to expense reimbursement checklist @
Expense Reimbursement Checklist - Template - Financial Services
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and the Guide to Financial Management @
Travel & Other Reimbursable Expenses - Policies and Guidelines
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Revised April 2024
REIMBURSEMENT REQUESTED OR REPAYMENT
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