Employee Travel Form

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Ìý Itemized Receipt Requirements

Airfare cannot be purchased on your travel card.

Please be sure to review theÌýÌýbutton above.Ìý

Indicates required field
Choose your Department/Org # (in 1 of the 3 drop downs)
Please just choose one department from the lists.
Have the receipts for this trip been uploaded in Concur?
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Dates Traveled:
Did you travel to multiple destinations?
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Do you need additional destinations?
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Is there a cash advance for this trip?
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Business Purpose
One file only.
20 MB limit.
Allowed types: bmp, eps, tif, pict, txt, rtf, pdf, doc, docx, ppt, pptx, odp, xls, xlsx, ods, xml.
Expenses
Airfare
$ÌýÌý Includes CBT agent fee.
Purchase through Concur travel expense system or Christopherson Business Travel (CBT)?
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One file only.
20 MB limit.
Allowed types: bmp, eps, tif, pict, txt, rtf, pdf, doc, docx, ppt, pptx, odp, xls, xlsx, ods, xml.
Refer to the “PSC Internet Airfare†button at the top of this form.
One file only.
20 MB limit.
Allowed types: bmp, eps, tif, pict, txt, rtf, pdf, doc, docx, ppt, pptx, odp, xls, xlsx, ods, xml.
Airfare previously purchased through the Concur Expense System or CBT needs to be included in this report.
Ground Transportation
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Travel card used for purchase?
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One file only.
20 MB limit.
Allowed types: bmp, eps, tif, pict, txt, rtf, pdf, doc, docx, odt, ppt, pptx, odp, xls, xlsx, ods, xml.
Lodging
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Travel card used for purchase?
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Did anyone stay in the lodging with the primary traveler?
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One file only.
20 MB limit.
Allowed types: bmp, eps, tif, pict, txt, rtf, pdf, doc, docx, ppt, pptx, odp, xls, xlsx, ods, xml.
Mileage - Personal vehicle only
Do you have multiple locations?
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Is mileage round-trip or one-way?
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Did travel fall on a normal work day?
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2025 Standard Reimbursable Rate - $.63/mile
Actual miles driven will be calculated in Concur using the Mileage Calculator
One file only.
20 MB limit.
Allowed types: bmp, eps, tif, pict, txt, rtf, pdf, doc, docx, ppt, pptx, odp, xls, xlsx, ods, xml.
Registration
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Travel card
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One file only.
20 MB limit.
Allowed types: bmp, eps, tif, pict, txt, rtf, pdf, doc, docx, ppt, pptx, odp, xls, xlsx, ods, xml.
Rental Car
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Travel Card?
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One file only.
20 MB limit.
Allowed types: bmp, eps, tif, pict, txt, rtf, pdf, doc, docx, ppt, pptx, odp, xls, xlsx, ods, xml.
Rental Car Gas
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Travel Card?
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One file only.
20 MB limit.
Allowed types: bmp, eps, tif, pict, txt, rtf, pdf, doc, docx, ppt, pptx, odp, xls, xlsx, ods, xml.
Parking
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Travel Card?
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One file only.
20 MB limit.
Allowed types: bmp, eps, tif, pict, txt, rtf, pdf, doc, docx, ppt, pptx, odp, xls, xlsx, ods, xml.
Tolls
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Travel Card?
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One file only.
20 MB limit.
Allowed types: bmp, eps, tif, pict, txt, rtf, pdf, doc, docx, ppt, pptx, odp, xls, xlsx, ods, xml.
Other
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Travel Card?
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One file only.
20 MB limit.
Allowed types: bmp, eps, tif, pict, txt, rtf, pdf, doc, docx, ppt, pptx, odp, xls, xlsx, ods, xml.
Other
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Travel card?
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One file only.
20 MB limit.
Allowed types: bmp, eps, tif, pict, txt, rtf, pdf, doc, docx, ppt, pptx, odp, xls, xlsx, ods, xml.
Other
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Travel card?
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One file only.
20 MB limit.
Allowed types: bmp, eps, tif, pict, txt, rtf, pdf, doc, docx, ppt, pptx, odp, xls, xlsx, ods, xml.
Per Diem
Select one of the following:
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Were any meals provided by the conference or hotel?
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Did this trip include personal travel?
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Report totals
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Total expenses for this trip (not including per diem)
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Should we limit the reimbursement amount to the employee?
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Do you need to split the total expense amount to more than one speedtype?
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Email confirmation
Would you like an emailed copy of this form sent to you?
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