Expense Reimbursement Form
Employee Name
Employee ID
Department
Date Submitted
Expense Period
Expense Details
Date
Description
Category
Amount
Receipt Attached
Travel
Meals
Accommodation
Supplies
Other
Yes
No
Travel
Meals
Accommodation
Supplies
Other
Yes
No
Travel
Meals
Accommodation
Supplies
Other
Yes
No
Total Amount
Notes
Employee Signature
Date
Manager Approval