EXPENSE REPORT Cumberland Heights Employee Name (print)
Employee Number
Monday
Month:
Tuesday
Wednesday
Address
Thursday
Friday
City, State, Zip
Sat / Sun
Total
Date Number Miles Traveled Mileage @ .40 Lodging Meals (plus tips) * Parking (up to $10) Business Meals + tips** Entertainment Miscellaneous Phone Bills Total Due Employee
EXPLANATION OF EXPENSES REPORTED ABOVE 1 2 3 4 5 MISCELLANEOUS:
*Expenses are to be turned in each week or by the end of the month – over 60 days will not be paid ** Meals will be reimbursed when an employee is on an overnight business trip. Meals during seminars of 1 day or less will not be reimbursed. Maximum allowance per employee per meal is $5.00 (breakfast) $7.50 (lunch) $15.00 (dinner). Receipts required. *** Meals between two or more employees are not reimbursable. Meals between two or more employees a third party for the purpose of discussing business are reimbursable. Receipts required. Expense reports must be fully completed including appropriate signatures. Incomplete forms will be returned unpaid. Expense reports must be received by payroll by Monday 5:00 pm to be paid on the current payroll.
Employee Signature
Supervisor Signature
Dept. Number
Date
