COE Reimbursement Request Form_Updated Jan 2019
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For Admin Use Only
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Account Info:
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Destination
Purpose
Travel Dates
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TRAVELER INFORMATION:
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Name
CONFERENCE TRAVEL ONLY
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Address
Submitted travel Report to:
I attest that this trip was taken for business purposes and that vacation was not a major consideration
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Deputy Director
Via Confluence
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Policies/ProceduresUseful Links
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Submission Deadline: It is now a HLTCOE policy for all reimbursements to be submitted within 30 days of last day of the trip.Per Diem Rates
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Business travel: Arrange travel in advance, whenever possible, at the lowest fare, usually non-refundable coach. JHU Travel Forms
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Proof of payment: Submit proof of payment, not a confirmation of travel arrangements.JHU A/P Travel Policies
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Number your receipts: Beginning with the #1, please number each receipt so it corresponds to the row in your reimbursement request form.
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Lodging: Do not exceed government per diem. A hotel folio showing detailed lodging costs, per day, is required. Please get this from hotel during checkout!
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Domestic: Original, itemized receipts are required for expenses over $25.00. Per diems will not be accepted/allowed.
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International: Government per diem amounts may be used instead of receipts. Note: 75% of per diem should be used for travel days.
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Alcohol: Federal regulations prohibit reimbursement of alcoholic beverages. Deduct alcohol charges from your request before submitting.
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Mileage: Proof of mileage is required (e.g., Mapquest screenshot). The current mileage rate is $0.58
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Missing Receipt Form: If you are missing a receipt, complete a Missing Receipt Affidavit (See JHU Travel Forms link under "Useful Links" on this page.)
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Fly America Waiver Form: Unless you can justify an exception, travelers must use US carriers. For exception, complete JHU's waiver form. (See JHU Travel Forms link under "Useful Links" on this page.)
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Mileage Reimbursement Rate:0.58 (as of Jan 1, 2019)
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Enter Mileage or Foreign cost & exchange rate or US$ costPlease explain "Other" expenses here
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DateExpense TypeMileage
Foreign Cost
Exchange Rate
US$ CostTotalReceipt #Notes
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Total $ -
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Return this form to:
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Hana Hamidhana@jhu.edu
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Human Language Technology Center of Excellence
TRAVELER SIGNATURE:
DATE:
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Johns Hopkins University
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810 Wyman Park Drive, Suite 202
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Baltimore, MD 21211
APPROVER SIGNATURE:DATE:
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