Travel_Expense_Statement_2026_updated 8.6.26.xlsx

	A	B	C	D	E	F	G	H	I	J	K	L
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2	Travel Expense Statement
3	ATTACH TRAVEL AUTHORIZATION FOR INTERNATIONAL TRAVEL
4	Departmental Chart of Accounts				FOR ACCOUNTS PAYABLE OFFICE USE ONLY
5	SpeedChart	Maximum Amount Payable (Required only if you want to limit the expenses paid)			Prepaid (132160)		Meals (641130)		Lodging (641140)		Mileage (641510)
6					Prepaid (132160)		Meals (641130)		Lodging (641140)		Mileage (641510)
7					Airfare & Baggage (641120)		Ground Transp. (641110)		Registration (727110)		Parking (641170)
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9	Total	$ -
10					Vendor ID:				Voucher ID:
11	NAME (LAST,FIRST)					TITLE
12	TRAVEL TYPE (Please select travel type)
13	GSU DEPT & BOX
14	ADP # for employee, OR SSN for non-employee (Please use proper security procedures to ensure privacy.)
15	HOME ADDRESS
16	HEADQUARTERS (Only complete if your physical office location is not on Georgia Southern's Main Campus)
17	TRAVEL DATES							If expenses are for group travel, please provide numbered list of participants
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20	DATE	LOCATIONS/POINTS VISITED	PLEASE SEE THE WORKSHEET THAT APPLIES TO YOUR TRAVEL SITUATION				Incidentals are automatically included for out-of-country travel. If claiming incidentals for domestic travel, please list daily amount on page two and provide explanation for each day.		ATTACH LODGING RECEIPT	TOTAL	DO NOT WRITE IN THIS SPACE FOR ACCT DEPT
21									ATTACH LODGING RECEIPT
22			Breakfast		Lunch	Dinner	Incidentals (out-of-country)		LODGING
23										$ -
24										$ -
25										$ -
26										$ -
27										$ -
28										$ -
29										$ -
30										$ -
31										$ -
32										$ -
33	TOTALS		$ -		$ -	$ -	$ -		$ -	$ -
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35	STATE USE MILEAGE: Tier 1 or Tier 2 (Use 0.76 (Tier 1) or 0.235 (Tier 2)		Please Select		Miles Traveled (from pg 2) *	0.00	Total Mileage Reimbursement			$ -
36	COMMON CARRIER, TAXI/LIMOUSINE (EXPLAIN IN SECTION ON REVERSE SIDE) ATTACH PASSENGER COPY OF AIRLINE TICKET									$ -
37										$ -
38	MISCELLANEOUS EXPENSES (EXPLAIN IN SECTION ON REVERSE SIDE)									$ -
39	MISCELLANEOUS EXPENSES (EXPLAIN IN SECTION ON REVERSE SIDE)									$ -
40	TOTAL COST									$ -
41	TOTAL COST									$ -
42	PREPAID EXPENSES (EXPLAIN IN SECTION ON REVERSE SIDE)									$ -
43	PREPAID EXPENSES (EXPLAIN IN SECTION ON REVERSE SIDE)									$ -
44	NET COST									$ -
45	NET COST									$ -
46	I certify that time and expenses reported are in compliance with Statewide Travel Regulations and that I may be held personally and criminally liable for any falsification.
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48	Traveler's Printed Name			Title			Traveler's Signature					Date
49	Upon granting approval of this travel expense statement, approvers are certifying: the appropriateness of the expenditure and reasonableness of the amount, availability of funds, compliance with funding agency regulations and State reimbursement policies, and completeness and accuracy of documentation. Approvers are certifying that the most cost-effective method of transportation that could accomplish the purpose of the travel was selected.
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51	Budget Manager's Printed Name			Title			Budget Manager's Signature					Date
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