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Note: In order to fill out the form, download as an Excel sheet (File > download)
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Chevron Candidate Expense Report
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Reminder: In order to receive reimbursement, all personal information requested below must be completed and the completed expense report needs to be signed (wet signature) and scanned as a PDF.
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Transportation ExpensesMealsOthersRemarksTotal Amount
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MM/DD/YYYYTransportation
Type		Miles TraveledMileage DueParking / TollGasTotal Transportation FareTransportation TipTotal Amount
per Day		Airfare, Lodging, Rental Car, Baggage, etc.Expense Type and Other Comments
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Not ApplicableN/AN/AN/AN/AN/AN/A$0.00 $0.00 N/A$0.00
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Not ApplicableN/AN/AN/AN/AN/AN/A$0.00 $0.00 N/A$0.00
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Not ApplicableN/AN/AN/AN/AN/AN/A$0.00 $0.00 N/A$0.00
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Not ApplicableN/AN/AN/AN/AN/AN/A$0.00 $0.00 N/A$0.00
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Not ApplicableN/AN/AN/AN/AN/AN/A$0.00 $0.00 N/A$0.00
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Not ApplicableN/AN/AN/AN/AN/AN/A$0.00 $0.00 N/A$0.00
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Not ApplicableN/AN/AN/AN/AN/AN/A$0.00 $0.00 N/A$0.00
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Not ApplicableN/AN/AN/AN/AN/AN/A$0.00 $0.00 N/A$0.00
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Not ApplicableN/AN/AN/AN/AN/AN/A$0.00 $0.00 N/A$0.00
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Not ApplicableN/AN/AN/AN/AN/AN/A$0.00 $0.00 N/A$0.00
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Not ApplicableN/AN/AN/AN/AN/AN/A$0.00 $0.00 N/A$0.00
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Not ApplicableN/AN/AN/AN/AN/AN/A$0.00 $0.00 N/A$0.00
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Not ApplicableN/AN/AN/AN/AN/AN/A$0.00 $0.00 N/A$0.00
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Not ApplicableN/AN/AN/AN/AN/AN/A$0.00 $0.00 N/A$0.00
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Not ApplicableN/AN/AN/AN/AN/AN/A$0.00 $0.00 N/A$0.00
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$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Total Due Candidate$0.00
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The undersigned payment recipient (hereinafter defined and referred to as "Payee") hereby confirms that the above expenses were incurred while traveling for an interview with a Chevron entity (hereinafter referred to as "Chevron"). Payee agrees to be paid via physical check method and payment shall be deemed completed when Payee receives the physical check. In the event that Payee does not receive the physical check, Payee has 60 calendar days after reimbursement submission date to notify Chevron. In case of a change in mailing address or the reimbursement amount, Payee agrees to notify Chevron immediately and provide reasonable time to effect such change. In the event of overpayment, Payee agrees to return overpayment amount to Chevron.
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Wet signature:Phone number:
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Name as shown on bank account:E-Mail address:
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Address where check should be mailed:
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