payment / reimbursement form - cornell university

1

For Faculty / Staff / Students SECTION #1 SECTION #2 Account Information: Field trip preapproved Approval E-mail/Documentation attached Acct. # / Name: Acct. Approval (Faculty / Staff): Approval Max $: Rev. April/2016 Acct. # / Name Trip Start Date: Trip End Date: Destination: Expense Limit: Enter amount of travel advance: Travel Information: **If you have any questions, please contact the AAP Business Service Center in 140 Sibley Hall** Payment / Reimbursement Form College of Architecture, Art, and Planning Cornell University Student ID: Please check all that apply: Reimbursement Travel Award Business Purpose (Who, What, When, Where, Why): Total $: No $ Yes Required for Any Meal Purchases: Was Alcohol Purchased? ACH/Direct Deposit Please Mail Check To: Same as Permanent Home Address Address information: Permanent Home Address: REQUIRED Complete all three sections, attach all receipts, and return form to 140 E. Sibley Hall (Business Service Center) Net ID: Attendees (Full name or name of group): Department: Faculty Undergraduate Graduate Staff Please check all that apply: SECTION #3 Legal Name:

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Page 1: Payment / Reimbursement Form - Cornell University

For Faculty / Staff / Students

SEC

TIO

N #

1SE

CTI

ON

#2

Account Information:

Field trip preapproved

Approval E-mail/Documentation attached

Acct. # / Name:

Acct. Approval (Faculty / Staff):Approval Max $:

Rev. April/2016

Acct. # / Name

Trip Start Date: Trip End Date:

Destination:

Expense Limit:

Enter amount of travel advance:

Travel Information:

**If you have any questions, please contact the AAP Business Service Center in 140 Sibley Hall**

Payment / Reimbursement Form College of Architecture, Art, and Planning

Cornell University

Student ID:

Please check all that apply: Reimbursement TravelAward

Business Purpose (Who, What, When, Where, Why):

Total $:

No$ Yes

Required for Any Meal Purchases:

Was Alcohol Purchased?

ACH/Direct DepositPlease Mail Check To:

Same as Permanent Home AddressAddress information: Permanent Home Address: REQUIRED

Complete all three sections, attach all receipts, and return form to 140 E. Sibley Hall (Business Service Center)

Net ID:

Attendees (Full name or name of group):

Department:

FacultyUndergraduate Graduate Staff Please check all that apply:

SEC

TIO

N #

3

Legal Name:

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