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TO BE COMPLETED BY CLAIMANT EXPENSE REPORT / ACCOUNTABLE ADVANCE SETTLEMENT Financial Services Dept. (revised May 1, 2018)
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TO BE COMPLETED BY CLAIMANTAccounting Information - TO BE COMPLETED BY BUSINESS OFFICER
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Indicate reimbursement currency:
For expense reimbursements in a currency other than CAD, DO NOT convert expenses to CAD value.
NOTE: Original receipts are required.		Claim Type: 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.0EMPLOYEE FIELD TRIPBusiness Area:
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CAD 1EMPLOYEE CONFERENCECompany Code: UofT
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USD 2STUDENT FIELD TRIPDocument Number:
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Other3STUDENT CONFERENCE
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__________4VISITOR
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Personnel NumberPeriod of TravelEXPENSE CATEGORIESAMOUNTG/L ACCOUNT NUMBERTAX CODECOST
CENTER		ORINTERNAL
ORDER		FUNDS CENTERFUNDCOMMITMENT
ITEM
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Last NameInitialAIRFARE: Attach proof of payment & proof of air travel (*)Travel within Canada84010ER
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Travel to USA from Ontario84010EE
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AddressAll other Airfare84010E0
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ACCOMMODATION:ON (13%HST)84020ER
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PEI, NS, NF, NB (15%HST)84020EN
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Purpose and Relevance to University BusinessAll other provinces / territories84020EE
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USA / International84020E0
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ALLOWANCE:Per Diem: Canada84030EA
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Department ContactPer Diem: USA / International84030E0
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KMS X 54 cents/km84040EA
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DepartmentRAIL/BUS:Travel within Canada84050ER
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Travel outside Canada84050E0
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TelephoneFaxPUBLIC TRANSITTravel within or outside Canada84055E0
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CAR RENTAL: Attach detailed receipt & contract (*)ON (13%HST)84060ER
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Date PreparedPEI, NS, NF, NB (15%HST)84060EN
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All other provinces / territories84060EE
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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 / International84060E0
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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 / territories84070EE
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Signature of ClaimantUSA / International84070E0
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TAXI:ON (13%HST)845000ER
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PEI, NS, NF, NB (15%HST)845000EN
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Print NameTitleAll other provinces / territories845000EE
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USA / International845000E0
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OTHER:
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Authorized Approver 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 Authorized Approver
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Print NameTitle
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TOTAL EXPENSESNOTES:
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LESS: ACCOUNTABLE ADVANCE
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For AA Settlements: Financial Services (original copy) Originating department (photocopy)REIMBURSEMENT REQUIRED
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OR REPAYMENT
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(*) Refer to expense reimbursement checklist @Expense Reimbursement Checklist - Template - Financial Services
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 and the Guide to Financial Management @Travel and Other Reimbursable Expenses - Policies and Guidelines - Financial Services
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