*All receipts must be attached with this form

**For mileage, list total number of miles. Mileage rate is $0.58 per mile.

***The most frequently used budget codes are:

• 5710 - Travel/Transportation
• 5720 - Lodging (Hotel)
• 5730 - Food
• 5910 - Funding for SIGs/SRCs
  

***All Committee members must first submit this form & all receipts to their respective Committee Chairs for pre-approval