CODATA Travel Expense Form 2019 FINAL.xlsx

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1	CODATA TRAVEL AND EXPENSE REIMBURSEMENT FORM
2	Receipts are required for all expenses except for meal and incidental amounts. Provide images or copies of Receipts.
3	Meal and incidental amounts without receipts are: Breakfast = 15 € ; Lunch = 23 € ; Dinner = 37 € ; Incidental = 15 €
4	Flight reimbursement is based on the lowest available economy fares.
5	Complete one form per trip.
6	Additional details of CODATA's travel reimbursement policy can be cound on page two of this form.
7	All cells highlighted in yellow are calculated automatically												v.9
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9	Claimant Name					Organization				Claim Date:
10	Address									City
11	Province/State					Postal/zip code				Country
12	Claimant email
13
14	Summary of activity : Purpose, destination, conference or activity, dates of event(s), participant's role.
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16	Arrival Date (yyyy-mm-dd):					Return Date (yyyy-mm-dd) :				Number of Nights:
17
18	Expenses:
19	Recipt #	Type of Expense		Description				Date Incurred (yyyy-mm-dd)		Currency	Amount	Conv. Rate to Euro	Euro Amount
20	1												€ -
21	2												€ -
22	3												€ -
23	4												€ -
24	5												€ -
25	6												€ -
26	7												€ -
27													€ -
28													€ -
29													€ -
30													€ -
31													€ -
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37													€ -
38											TOTAL	€ -
39
40	Claimant Confirmation :								Allocations (CODATA USE Only)
41	Answer "Yes" or "No" to the following questions.						(Y/ N)		Category		% to Allocate
42	1) Are the expenses the result of travel for CODATA Business?											€ -
43	2) Are any of the submitted expenses reimburable by another party?											€ -
44												€ -
45												€ -
46									Checksum Total			€ -
47	CODATA Approval				Simon Hodson				Travel Advance (Euros)
48	Signature:								Date	Currency	Amount	Exch. Rate	Euros
49	Signature:												€ -
50	Approval Date:								Reimbursement (Euros)				€ -
51	By signing below, claimant confirms these expenses are reasonable, support CODATA's business, and comply with the Travel and Expense Reimbursement Policy.
52	Claimant			Signature						Date
53	Claimant
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55	Mailing Address for Payment (for postal check)		Name for Payment
56			Address
57			City
58			State/Province
59			Country
60			Zip Postal Code
61
62	Information for Bank Transfer		Account Holder Name (if different)
63			Account Holder Addres (if different)
64			Bank Name
65			Bank Address
66			Account type
67			IBAN (if available)
68			SWIFT/BIC
69			Account Number
70			Sort / Branch / Transfer Code
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