Travel and Expenses Request Form

Department of Radiation Oncology REIMBURSEMENT: To insure prompt processing of travel reimbursement, all pertinent data and receipts must be forwarded to the Fiscal Section within five (5) working days of the employee's return. Please be advised that it is to your advantage to retain ANY and ALL receipts, which reflect funds expended while on your trip. PLEASE NOTE: WHILE YOU CAN and SHOULD SUBMIT THIS FORM ONLINE ALL NECESSARY SIGNATURES ARE STILL NEEDED, PLEASE PRINT COMPLETED FORM AND ROUTE THROUGH PROPER CHANNELS FOR APPROPRIATE SIGNATURES.

  • City, State, and Country (if foreign travel)
  • MM slash DD slash YYYY
  • MM slash DD slash YYYY
  • Estimated Costs

  • Price: $6.00
  • Price: $11.00
  • Price: $19.00
  • Price: $0.44
  • Any unusual extra expense due to changes in reservations may have to be borne by the traveler. Always coordinate reservations/changes with your secretary or the fiscal office.
  • $0.00
  • Approvals

  • Program Director/Chief
  • Department Administrator
  • Department Chair
  • Funding Allocation


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