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Note instructions to the right of this form ------------------------------------------------------------------------------------------------------------------------------------>>>
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Cunningham Restaurant Group
EXPENSE REIMBURSEMENT REQUEST
This ERR form does the math for you.
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Name
Save this form onto your computer for future use.
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Address:
<< This is for page numbering, when you need more than one ERR (e.g. Page 1 of 2).
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CostPage
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SocialCenterOf
Be sure to read the instructions on the "Procedure" tab.
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Security # (address and SS# must be filled out when used by non-employees)
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DateItemDescriptionTravel (include destination in description)Meals & Other
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#Business PurposeMilesMileageTransportationLodgingEntertainmentAmountAccount #
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0.00
Put in the miles and let the form do the math for you. Please see the instruction for mileage on the Procedure tab.
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0.00
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0.00
It is vital that each expense have a business purpose listed, otherwise the reimbursement could be rejected. This is an IRS requirement.
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0.00
It is very important that you include your trip destination in the Description.
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TOTALS00.000.000.000.000.00
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Charge Total To Account:0.67052000520005200052200Other
<-- mileage rate based on current GF rate per mile.
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Employee
Mileage Rate
Total All Columns
0.00
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Signature
DateAdvance
< -- enter here the amount you are accounting for if you already received the funds. Note the cost center/account number next to this box where the original funds were charged.
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Due Employee or
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ApprovalDateDue CRG
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Receipts and explanations must be attached (see Procedure tab)Rev. 1/2002
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