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Home My WebLink AboutT-2 2018INSTRUCTIONS: Complete both pages of the form and then obtain Department Director's signature. Return any unused travel advance to the Finance Cashier and request a receipt. Once approval is received, submit all the receipts from your travel and this form to Accounting within 5 business days of return. Remember to keep a copy of receipts for p-card reconciliation. I. II. III. VI. CITY OF IOWA CITY TRAVEL AND TRAINING EXPENSE RECONCILIATION FORM ** MUST BE SUBMITTED TO ACCOUNTING WITHIN 5 BUSINESS DAY OF RETURN ** TRAVELER (S) NAME OTHER EMPLOYEES COVERED BY THIS AUTHORIZATION NAME OF CONFERENCE/TRAINING OR PURPOSE OF TRIP DESTINATION CITY SUMMARY OF EXPENSES Complete the Expenses tab and total will be autopopulated in the appropriate columns below. Transportation Lodging Meals Registration Miscellaneous Total RECONCILIATION OF ADVANCE / REIMBURSEMENT REQUEST ACKNOWLEDGEMENT The aforementioned is a true and accurate accounting of expenses incurred in conjunction with service performed for the City of Iowa City. Employee/City Official Date STATE A Paid by Procurement Card 0 0 N/A 0 0 0 DEPARTMENT/DIVISION DEPART DATE Grand Total (Columns A + B + C) Total Column C Advance Received Advance Returned to Cashier Amount of Reimbursement Requested TIME B Paid by Accounts Payable 0 0 N/A 0 0 0 Department Director Date EMPLOYEE ID# PROJECT STRING CONFERENCE/TRAINING DATE(S) RETURN DATE 0 0 0 0 0 0 $ $ $ $ $ C Paid from Travel Advance or Out-of-Pocket 0 0 0 ORG CODE TIME T-2 ACTIVITY Transportation Airfare; Ticket Charge City Vehicle (attach gas receipts) Private Vehicle - Car Rental Total Transportation Lodging If receipt includes expenses of non-city employees, claim rate of equivalent single room only. Total Lodging Meals (write in dates and rates, per travel policy) Date Breakfast Lunch Dinner Total Registration Miscellaneous Expenses nights at $ 0 (Attach another sheet if additional days are needed.) 0 miles x each. 0 $ $ $ $ $ TRAVEL/TRAINING RECONCILIATION FORM 0.545 0 CITY OF IOWA CITY 0 Total Miscellaneous 0 0 Total Meals Total Registration Total of Columns Total Expenses A Paid by Procurement Card $ $ $ $ $ $ $ $ $ $ N/A 0 N/A 0 B Paid by Accounts Payable $ $ $ $ $ $ $ $ $ $ N/A 0 N/A 0 C Paid from Travel Advance or Out-of-Pocket $ $ $ $ $ $ $ $ $ $ $ T-2 0 0 0 0 0 IA AK AZ AR CA CO CT DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY Other