In-state Travel Reimbursement Request Form


 

This form is for:

  • Requesting post-trip reimbursement for expenses incurred on trips occurring within the state of Colorado
 

This form is NOT for:

  1. Booking airfare through a partner travel agency or requesting a travel advance (see Travel Request Form)
  2. Non-travel related expenses (see Purchasing & Payments)
  3. Out of state or international travel reimbursements
 

 

Requestor Details

 
 
 
 
Phone
 

First and Last Name

 
 

 

Billing Details

 
 

Must be a 7-digit CSU account number.

 

NOTE: If this trip is being charged to a sponsored project (account beginning in 53), please also include how it aligns with the objectives outlined in the project statement of work or budget justification.

 
 

 

Traveler Details

 
 
 

 

Trip Details

 
 
mm/dd/yyyy
 
 
mm/dd/yyyy
 

Include both city, state.

 
 
 
 

 

Per Diem

Per diem can only be claimed when the trip duration is greater than 1 day. It is intended to cover meal and incidental expenses. Rates are based on your destination and established by the state controller. The first and last day of travel are reimbursed at 75% of the established rate.

 

Please include the dates and details of these meals so we can accurately adjust your per diem calculations (e.g. Breakfast on 8/24).

 
 
 

 

IMPORTANT: Documentation is Required

Submit receipts for every expense claimed.

 
  • Backup has been provided for every expense that has been claimed (per diem excluded).
  • The expenses claimed were paid for directly by the traveler unless indicated otherwise.
 

Next steps:

  1. When your expenses and receipts have been received, your reimbursement will be queued for processing.
  2. Once processed, you will receive a confirmation email with next steps and further details.
 

Please submit in PDF.

Drop your files here