Listed below are samples of completed Travel Reimbursement vouchers. These samples are provided to hopefully assist in the preparation of a Travel Expense Reimbursement Vouchers.  To view the actual sample form, click on the Sample 1 or 2.

Special Notes:

• Entire form must be completed. (Always complete in the info requested in the highlighted areas in the sample.)
• All vouchers must be typed or completed in Ink.
• All signatures must be the full name, not initials, dated and be original.
• Each day's expenses must be shown on a separate line.

Sample 1 -   Employee travels to attend a Conference held in Dallas, TX.

• Travel Authorization number - 141189
• Personal Vehicle mileage to and from Charlottesville Airport, 120 miles round trip - $67.20
• Airline tickets - $410.00
• Travel day meal per diem - $55.00
• Shuttle to and from Dallas Airport and Hotel - $25.00 each way
• Registration Fee - $250.00
• Lodging @ $123.00 room rate (plus taxes & fees) per night - $139.95
• Full day meal per diems - $71.00
• Internet fees for official JMU business (justification required) - $11.95
• Meal per diem less dinner (included in Registration Fee)  - $71.00 less $36.00 = $35.00
• Account Codes:
  • 121700 $11.95        Internet Fees
  • 122400 $250.00      Registration Fee
  • 122700 $1,374.00   All other Expenditures

Sample 2 -   Employee travels to Nashville, TN on field work.

• Travel Authorization number - 141190
• Personal Vehicle Mileage from JMU to Dulles Airport, 240 miles round trip - $59.04
• Airfare paid with Department SPCC - $0.00
• Travel day meal per diem - $51.00
• Lodging @ $122.00 room rate (plus taxes & fees) per night - $140.30
• Travel day meal per diem - $51.00
• Rental vehicle - $83.00
• Gasoline for rental vehicle - $23.00
• Parking at airport - $10.00
• Account Codes:
  • 128200 $59.04     Mileage
  • 128800 $102.00   Meal per diem
  • 128500 $150.30   Lodging & parking
  • 128300 $106.00   Rental vehicle & pas