Skip to Content
Sunday, November 19, 2017
Employee Expense Reimbursement Form
Select the Expense Type from the first drop down list. Next, enter the amount of the expense, total number of miles traveled(for mileage), or days in travel (for Per Diem Food Allowance) in the "Expense Amount, Miles Traveled or days in travel" box. Now enter a brief description of the expense in the "Description" box. Click the add button and the expense will be added to your current total
For food while traveling: Select "Per Diem food allowance" from the "Expense Type" drop down list then enter the total days in travel in the "Expense Amount/Miles Traveled" box. The Per Diem ($42 per day) food allowance from the trip will be automatically calculated and added into your current total. Days in travel can be entered in whole and decimal format (ex. 1, 1.5) to reflect partial days in travel.
For mileage ($0.54 per mile), select "mileage" from the "Expense Type" drop down list then enter the total number of miles traveled in the "Expense Amount, Miles Traveled or days in travel" box. Enter a brief description of the trip in the "description" box then click the add button. The mileage from the trip will be automatically calculated and added into your current total.
Please note that Travel expense category includes all expenses incurred while traveling (airfare, hotel, rental car, gas for rental car, mileage from personal vehicle, internet charges while traveling, etc.)
When completed, select the "Generate Printer Version" button and a completed form will be created. Please print this form (keeping a copy for yourself), attach all receipts (except mileage and food), sign and submit.
Submit report with receipts by any of the following methods:
FNU Senior Accountant
170 Prosperous Place
Lexington, KY 40509
District of Columbia
North Mariana Islands
Prince Edward Island
Month Expenses Relate to
Year Expenses Relate to
Member Dues & Subscriptions
Per Diem Food Allowance
Lexington Office Admin(40)
Expense Amount,Miles Traveled or Days in Travel