Spreadsheet: 16155f1c-92b1-4dfb-938a-54c0d0f7bf13
Sheet: Sheet1

STATE OF CALIFORNIA - CSUM STD 262 (REV. 04/01/13) | Unnamed: 1 | Unnamed: 2 | Unnamed: 3 | Unnamed: 4 | Unnamed: 5 | Unnamed: 6 | Unnamed: 7 | Unnamed: 8 | Unnamed: 9 | Unnamed: 10 | Unnamed: 11 | Unnamed: 12 | Unnamed: 13 | Unnamed: 14
TRAVEL EXPENSE CLAIM |  |  |  |  |  |  |  |  |  | Page |  | of |  | Pages
CLAIMANTS NAME |  |  |  |  |  | EMPLOYEE ID # (Do Not Enter SSN) |  |  |  | CAMPUS & ADDRESS
 |  |  |  |  |  |  |  |  |  | CALIFORNIA MARITIME ACADEMY
POSITION |  |  |  |  |  | DEPARTMENT |  |  |  | 200 MARITIME ACADEMY DRIVE
 |  |  |  |  |  |  |  |  |  | VALLEJO |  |  | CA | 94590
RESIDENCE ADDRESS |  |  |  |  |  | DELIVERY OPTIONS (SELECT ONE)
 |  |  |  |  |  | MAIL CHECK |  |  |  | Phone #
 |  |  |  |  |  | ACH           ( bank info must be on file with AP )
(1) MONTH / YEAR |  | (3)  LOCATION                                         WHERE EXPENSES WERE INCURRED | (4)             LODGING | (5) MEALS (Max $55 per day) |  |  | (6) INCIDENTALS | (7) TRANSPORTATION |  |  |  |  | (8)           BUSINESS EXPENSE | (9)                                          TOTAL EXPENSES FOR DAY
 |  |  |  | BRKFAST  Actual Exp | LUNCH  Actual Exp | DINNER  Actual Exp |  | (A)                COST OF TRANS. | (B)                  TYPE USED | (C)  TOLLS PARKING | (D) PRIVATE CAR USE
(2) DATE | TIME |  |  |  |  |  | $7 / day after 24 hours of travel |  |  |  | [NAME] | AMOUNT
 |  |  |  |  |  |  |  |  |  |  |  | 0
 |  |  |  |  |  |  |  |  |  |  |  | 0
 |  |  |  |  |  |  |  |  |  |  |  | 0
 |  |  |  |  |  |  |  |  |  |  |  | 0
 |  |  |  |  |  |  |  |  |  |  |  | 0
 |  |  |  |  |  |  |  |  |  |  |  | 0
 |  |  |  |  |  |  |  |  |  |  |  | 0
 |  |  |  |  |  |  |  |  |  |  |  | 0
 |  |  |  |  |  |  |  |  |  |  |  | 0
 |  |  |  |  |  |  |  |  |  |  |  | 0
 |  |  |  |  |  |  |  |  |  |  |  | 0
 |  |  |  |  |  |  |  |  |  |  |  | 0
(10) SUBTOTAL
LESS: Amount paid by university including amount paid by procard |  |  |  |  |  |  |  |  |  |  |  |  |  | 0
CLAIM TOTAL (AMOUNT DUE EMPLOYEE) |  |  |  |  |  |  |  |  |  |  | $ | 0
(11) PURPOSE OF TRIP, REMARKS, AND DETAILS (ATTACH ORIGINAL RECEIPTS/VOUCHERS-NO COPIES WHEN REQUIRED) |  |  |  |  |  |  |  |  |  |  | (12) NORMAL WORK HOURS
 |  |  |  |  |  |  |  |  |  |  | (13) PRIVATE VEHICLE LICENSE
 |  |  |  |  |  |  |  |  |  |  | (14) MILEAGE RATE CLAIMED
 |  |  |  |  |  |  |  |  |  |  | 0.56 | (If different see instructions)
Amount |  | Account | Fund | [NAME] | Class |  |  | Notes:
0 |  | Total Claim (Amount Due Employee)
I HEREBY CERTIFY that the above is a true statement of the ACTUAL travel expenses incurred by me in accordance with ICSUAM Policy and Procedures, 3601.01 AND the CLAIM TOTAL amount above (Col 9)  has not been reimbursed from any other source or previously submitted for reimbursement
CLAIMANT'S SIGNATURE |  |  |  | DATE |  | DEPARTMENT CHAIR (IF APPLICABLE) |  |  |  |  |  |  |  | DATE
(16) SIGNATURE OF AUTHORIZED APPROVING OFFICIAL;  Approval indicates the Travel Claims Approving Checklist has been used to reivew and approve reimbursement of this Travel Expense Claim
SIGNATURE                                                                                                                         TITLE                                                                                                                             DATE
DETAILED receipts are required for reimbursement of any expense greater than $25
Review the CSU Travel Policy for rates allowed for foreign travel including Alaksa & Hawaii
CSU Policy prohibits the purchase of alcholic beverages with CSU operating trust funds.
Reminder:  Attach Travel Authorization form completed and approved by authorized approving official