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File: Expense Statement Format Excel 32333 | Outofstatetravelexpensestatementwaddendums06jan2020
sheet 1 instructions georgia state university travel expense statement instructions october 2016 purchase order number po the purchase order number is required when a travel authorization ta is entered into ...

icon picture XLSX Filetype Excel XLSX | Posted on 09 Aug 2022 | 3 years ago
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Sheet 1: Instructions












Georgia State University Travel Expense Statement Instructions















October, 2016



Purchase Order Number (PO #):











The purchase order number is required. When a Travel Authorization (TA) is entered into PantherMart, the TA entry generates a PO number. In Panthermart, the PO # begins with the letters PM. Important Note: A Travel PO should encumber funds in the same fiscal year in which the travel engagement begins.
Purpose of the Trip:











Purpose for the travel is a required field. Provide as much detail as possible to identify the business purpose for the travel engagement.
Address:











Provide the home address of the traveler. Ensure the address is the same address as shown in Spectrum.









Vendor/Panther Number:











Provide the vendor number on the Travel Expense Statement. This helps to ensure that the report is linked to the right individual (We have multiple employees and students with the same or similar names).
Campus Location:











Select the campus location. If 'Other' is applicable - explain in Purpose box.









Memo required:











- Travel Expense Statement (TES) being submitted 30 days or more after the trip ended – Whenever a TES arrives in Disbursements more than 30 days after the date of return, there must be a memo attached to explain/justify the late submission.

- Memo of justification required (signed by Unit Chair or CAO) when lodging exceeds allowable per diem.

- Reminder - TES submitted 60 days or more after the trip ended, if reimbursed, will be included in the Traveler's W-2 [annual earnings]

- Memo of justification required (signed by Unit Chair or CAO) when a provided meal is claimed on TES. If agenda meal is not provided, explain in memo.
Agendas are required:











Reviewers rely on the agenda for provided meals. If concurrent sessions are involved, provide details in Purpose box.
Meal Per Diem when traveling within Georgia:











(Receipts are not required). To find meal reimbursement rates for Georgia, only, access the Statewide Travel Regulations, see: link to the State of Georgia Meal Allowances, in Section 4.2:

link to the State of Georgia Meal Allowances, in Section 4.2

link to the State of Georgia Meal Allowances Schedule

Notice 2 sets of rates: Standard in-state per diem rates & High cost in-state rates.










Note: Tips for meals are not reimbursable. Section 4.2 of the Statewide Travel Regulations states: Employees traveling within the State of Georgia will be paid a per diem amount designed to cover the cost of meals (including taxes and tips), based on the number of meals per day for which the traveler is eligible.
Meal Per Diem when traveling outside of Georgia:











(Meal Receipts are not required). To find meal reimbursement rates for US States (excluding GA), log on to the U.S. General Services Administration website (GSA):


http://www.gsa.gov/portal/content/104877


Important Note: Use the GSA site for GA Lodging per diem. For GA Meal per diem, see above: Meal Per Diem when traveling in GA).

The following is an example of how to record the meal per diem for the location Tallahassee, Florida. Important to note, Georgia State agencies must us the (Federal) GSA webpage as a guide, only. Georgia does not allow travelers to use the $5 incidental fee in any calculations.






- Effective 10/01/2016: When meals are provided, First/Last day meal per diem will be reimbursed at 75% of the total meal per diem LESS the full amount of any provided meal. AGENDA REQUIRED.

- DAILY MEALS SHOULD BE BROKEN DOWN BY MEAL TYPE [Breakfast; Lunch; Dinner]. This includes FIRST/LAST days.
Lodging Per Diem (when traveling anywhere in the US, including GA:











(Lodging Receipts are required. Reasonable lodging expenses are reimbursed at actual cost). To find lodging reimbursement rates for all US States (including Georgia), log on to the U.S. General Services Administration website (GSA):


http://www.gsa.gov/portal/content/104877

See the example for Tallahassee, above. The printout from the GSA webpage includes the per diem lodging rates for Tallahassee. For example: Tallahassee lodging per diem rate for May, 2014, is $83.

Conference lodging (lodging at the hotel where the conference takes place) may exceed allowable per diem. It is important to notate if the lodging is taking place at the conference site. Clearly state this in the “Purpose of the Trip” area, and/or attach a brief memo to explain.


Lodging – Tax Exemption (County and Municipal Excise Tax (including occupancy tax)). See Statewide Travel Regulations, Section 3.3, Page 15. When lodging in the State of Georgia, Employees and Students are exempt from: County and Municipal Excise Tax. However, travelers are required to submit a copy of the Hotel Exemption Occupancy Form upon registration at the hotel/motel. If the hotel refuses to accept the form at check-in, the traveler should attempt to resolve the issue with hotel management before checking out at the end of their stay. If the matter is not resolved by check-out time, the traveler should pay the tax.


Link to State Form


Link to GSU Form












Tips:











Tips for meals may not be claimed.









Miscellaneous Expense:











-  If paid, reasonable tips may be claimed for transportation and lodging.











o   Per the Statewide Travel Regulations, Section 4.1: In general, actual incidental expenses are reimbursed separately and include: fees and tips given to porters, baggage carriers, bellhops, hotel housekeeping, stewards or stewardesses, and hotel staff.

Receipts are required for reimbursement of Miscellaneous Travel Expenses of $25 or more.









Approval for Travel Expense Statement:











- See “Approval for Travel”


Be sure to provide the printed name of the approver, along with the signature.









- See “Important Information about Travel Expense Statement Reporting, Including Roles and Responsibilities”

Office of Disbursements










accountspayable@gsu.edu

GSU Travel Webpage


Sheet 2: Travel Expense Statement














Georgia State University Travel Expense Statement Travel Team Use Only - Voucher ID






EFFECTIVE - JANUARY 1, 2020



















OUT-OF-STATE TRAVEL EXPENSE STATEMENT - EMPLOYEE AND STUDENT


View State of GA-Statewide Travel Policy Here (Travel Policy Revised 10/01/2017)


Indicate Status
Purchase Order # (required)



Today's Date (mm/dd/yyyy)
Does this report represent the FINAL Payment/Report?



Last Name of Traveler

If this report represent a PARTIAL Payment/Report, should we expect a final reporting at a later date?



First Name of Traveler




Residence Address

City, State, Zip

CITY, STATE Purpose of the Trip and Comments









City, State, Zip



Vendor/Panther Number




Campus Location



Traveler's Email Address

Date of Departure (mm/dd/yyyy)



Dept. Contact Name/Phone
Date of Return (mm/dd/yyyy)



Is Travel Expense Statement being submitted more than 30 days after the return of travel? (If yes, attach a memo to explain the late submission, signed by the approver)



If traveling with a group of students, attach a listing of student participants.
























Meal Per Diem Out of State


Note 1: View GSA Per Diem Rates Here (for travel outside of GA)
(DO NOT Include Incidentals)




As of 07.01.2018: Meal per Diem is no longer provided during NON-Overnight travel.


OVERNIGHT TRIPS ONLY: For reference, enter meal breakdown in YELLOW fields before entering your claims. REPORT EACH NON-PROVIDED MEAL SEPARATELY. With the YELLOW fields data and the claimed meals, the TES will calculate the reimbursement correctly. Meals shown on agenda will be deducted from per Diems without a Memo of Justification. Agenda required.


DAILY per Diem MAX Date
(MM//DD//YYYY)
Location /Point Visited Max Breakfast Per Diem $ Max Lunch Per Diem $ Max Dinner Per Diem $ Total First/Last Day Meal
Per Diem MAX $



0.00 0.00



0.00


First day=75%




0.00








$-








$-








$-








$-








$-


Last day=75%




0.00










Total Meal Per Diem = $0.00















Lodging Expense


View GSA Per Diem Rates Here (Note: State of GA lodging rates are same as shown on GSA site)


Enter 'Per Diem Amount for Location Visited' & 'Number of Nights' in the YELLOW fields to see Total Allowance. Attach Memo of Justification [MoJ] for lodging expense which exceeds allowance.


Location Visited $ Per Diem Rate Amount $ Number of Nights Total Lodging Allowance Check HERE if CONFERENCE HOTEL was used. With checked box, no MoJ required.


Date (MM/DD/YYYY)

$0.00 Lodging Expense [Attach Itemized Receipt]




































































CHECK HERE IF LODGING WAS PRE-PAID by GSU



Total Lodging Expense =
$0.00



Traveler Name: ,


Purchase Order Number:
PM00000000
















Miscellaneous Travel Expenses


* Receipt required for expense $25 or greater.


Date
(MM/DD/YYYY)
Airfare or Car Rental $ Parking $ Tips for
Transportation $
Tips for
Lodging $
Carrier/Taxi
Shuttle $
BAGGAGE FEES $ (Limited to 1 Bag/Trip) Other Trvl Misc. Expense $ Identify Other Misc Expense from previous column ( Internet, Toll...) Total $











$-











$-











$-











$-











$-











$-











$-


Misc. Totals $- $- $- $- $- $- $-
$-


CHECK HERE IF AIRFARE OR CAR RENTAL WAS PRE-PAID by GSU:






Total Misc. Expense = $0.00


MILEAGE RECORD/REIMBURSEMENT **Total Daily or CONSECUTIVE DAYS Business Miles up to 50 miles: EXEMPT from CRCC**


Personally Owned Auto Car Rental Cost Comparison [CRCC]
Campus to Campus Predetermined Mileage Chart


NEW RULE! Use the Mileage Addendum forms if this TES contains TIER 1 AND TIER 2 claims. You must enter the addendum totals [TOTAL MILES and COMMUTE MILES] on the respective Tier rows below. No CRCC when required? Reimbursement at Tier 2 rate.


ALL trips must have BEGINNING and ENDING locations with mileage based upon ACTUAL traveled miles. Include normal commute/personal miles, accordingly.


Date Points Visited REPORT MILEAGE DAILY Miles Traveled


(MM/DD/YYYY) From To Starting Odometer Reading -OR Zero/Blank if using Mapquest Ending Odometer Reading OR MapQuest Miles Total Miles Commute/Personal Miles State Use / Business Miles






0.0 0.0
0.00






0.0 0.0
0.00






0.0 0.0 0 0.00


Tier 1 Mileage Addendum Totals [see attached]
0.0 0.0
0.00


Tier 2 Mileage Addendum Totals [see attached]
0.0 0.0
0.00


Attach CRCC results.
If rental vehicle is recommended, mileage will be reimbursed at $0.20/mile
Total Reimbursable Miles = 0.0
$0.000

Current Reimb Rate ( Automobile Rate)


$0.575 0.000 $0.17 $-
*Mileage Reimbursement = $-


SUMMARY OF REIMBURSEMENT


Food $-


Lodging (Paid by Traveler): Attach Hotel Receipt and Proof / Method of Payment $-


Miscellaneous Travel Expenses $-


Mileage Reimbursement $-


TOTAL TRAVEL EXPENDITURE







$-


LESS ADVANCE - Travel Advance / Study Abroad Travel Advance - (where applicable)



LESS Airfare OR Car Rental - Paid directly by the University [ATTACH INVOICE]











LESS Pre-Paid Lodging [ATTACH FOLIO]











NET REIMBURSEMENT DUE TO TRAVELER:
---If a credit, see the Business Manager for deposit instructions. Attach receipt from deposit---
$-


Disbursements Use, Only - Amount Reimbursed



SIGNATURES & SWORN STATEMENT


Statement & Signature of Traveler


I do solemnly swear, under criminal felony penalty for false statements subject to punishment by a fine of up to $1,000 or by imprisonment for not less that 1 year or more than 5 years, or both, that the above statements are true and the described expenses, per diem and mileage, were incurred in the discharge of official duties for the State and have not been reimbursed. I have not and will not file for reimbursement of these sums from any other source.














Signature of Traveler (Above) Print Name on Above Line



Date (MM/DD/YYYY)











Signature of Authorized Budget Approver Print Name on Above Line Date (MM/DD/YYYY)











Signature of Approver Print Name on Above Line Date (MM/DD/YYYY)











Signature of P.I. Approver (If Applicable)

Print Name on Above Line
Date (MM/DD/YYYY)




Sheet 3: Tier 1 Mileage Addendum
BEST VALUE: PERSONAL VEHICLE - Mileage Record Addendum TIER 1 ONLY





If the Car Rental Cost Comparison [CRCC] determines that the Best Value option is a rental car, use the TIER 2 [$0.17] Addendum. Do NOT include Tier 1 and Tier 2 claims on the same Mileage Addendum.
Campus Locations:
Traveler


PO #

Campus Location


ALP Alpharetta












ATL Atlanta
Report all Actual miles traveled and applicable commute/personal miles based on odometer readings OR online mapping service [i.e., MapQuest] by day.










BKH Buckhead
Use Campus2Campus Mileage Chart in lieu of MapQuest. Support MapQuest miles with online MapQuest trip summary for non Campus2 Campus trips.










CKS Clarkston
Car Rental Cost Comparison [CRCC]
Campus2Campus Mileage Chart






DEC Decatur
Date mm/dd/yy Start Loc Visited Loc Ending Loc Purpose Total Miles MapQuest Odometer Start Odometer Ending Odometer Total Commute Miles Business Miles
DUN Dunwoody
01/07/20 ATL CKS
SITE VIST roundtrip 34

0
34
NWT Newton
01/09/20 Home DUN - CKS Residence SITE VIST 38

0 11 27
ONL Online
01/10/20 ATL CKS Residence SITE VIST 32

0 11 21
OTH Other
01/11/20 ATL CKS
SITE VIST roundtrip 34

0
34


01/12/20 Residence Atlanta H.S. Residence SITE VIST roundtrip 50

0
50


07/15/20 ATL CKS
SITE VIST roundtrip 34

0
34


07/16/20 ATL CKS
SITE VIST roundtrip 34

0
34
If reporting odometer
07/17/20 ATL CKS
SITE VIST roundtrip 34

0
34
readings, attach commute








0
0
mileage printouts, if applicable.








0
0










0
0
When entering the BUSINESS








0
0
MILES on the CRCC, you can now








0
0
enter '0' [zero] commute mileage








0
0
in the COMMUTE MILEAGE box, when applicable.








0
0










0
0










0
0










0
0










0
0










0
0


ENTER TOTAL REIMBURSABLE MILES on TES Page 2; [Mileage Section - Tier 1 Line]



290

0 22








Total Reimbursable Miles 268


Once Mileage Totals are entered on TES - *Mileage Reimbursement updates.



Reimbursement @ Tier 1 Rate 0.575
$154.10






































































































































































































The words contained in this file might help you see if this file matches what you are looking for:

...Sheet instructions georgia state university travel expense statement october purchase order number po the is required when a authorization ta entered into panthermart entry generates in begins with letters pm important note should encumber funds same fiscal year which engagement purpose of trip for field provide as much detail possible to identify business address home traveler ensure shown spectrum vendorpanther vendor on this helps that report linked right individual we have multiple employees and students or similar names campus location select if other applicable explain box memo tes being submitted days more after ended ndash whenever arrives disbursements than date return there must be attached explainjustify late submission justification signed by unit chair cao lodging exceeds allowable per diem reminder reimbursed will included s w provided meal claimed agenda not agendas are reviewers rely meals concurrent sessions involved details traveling within receipts find reimbursement...

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