Transaction Request

Transaction Request

This form is for UA Employees within the Department of Public & Applied Humanities to request payments and reimbursements. If you have questions, please contact Natalie Olson at neolson@arizona.edu or (520) 621-1220.

Name*

First and last name of requestor

UA Email Address*

Phone number (optional)

For contact purposes only

Phone

What type of transaction is this request?*

Travel reimbursement (for UA employee or student)

Expense reimbursement (for UA employee or student)

Honorarium payment (to a non-UA Individual)

Invoice payment to outside Vendor (upload invoice below)

Travel Request #

Please include the Travel Request # (e.g. TR-000056) associated with your original travel authorization request.

Note: this is NOT the official Travel Authorization #

What are we reimbursing?

Choose all that apply

Airfare

Baggage fees

Public transportation (bus/train)

Taxi/shuttle service

Hotel

Meals/per diem

Mileage

Other

Were any meals provided to you during your trip, such as at a hotel or during a flight?*

Yes

Meal information*

Please specify which meals (lunch, etc.) and on which specific dates they were provided. This is required to accurately calculate your per diem, so please be as detailed as possible.

What are we reimbursing?*

Funding Source

Sponsored project, R&T, Professional Development, etc.

UA Business Purpose*

Please provide the University Business Purpose for these expenses.

Please also explain how this transaction benefits UArizona.

Estimated Payment Total*

File Upload*

ALL FILES MUST BE IN PDF FORMAT

If this reimbursement is not travel related, please attach an Employee Reimbursement Request.

If this is an Honorarium request, please attach an Honorarium Request Form.

For all other transactions, please attach all required documentation.

Drag and drop files here or

Send me a copy of my responses

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