UNIVERSITY OF PITTSBURGH FORM INSTRUCTION GUIDE



FORM TITLE:  TRAVEL AND BUSINESS EXPENSE REPORT

NUMBER:      FORM 0060

PROCEDURE:   05-07-01





ENTER THE FOLLOWING INFORMATION WHERE INDICATED:



1.   Date of report (MM/DD/YY).



2.   Full name of payee (Last, First, Middle Initial).



3.   Check appropriate box indicating whether or not the payee is a

     University employee.



4.   School or division affiliation.



5.   Social security number of the payee.



6.   Room number and name of building.



7.   Street address.



8.   City, State and Zip Code or Foreign Country.



9.   Purpose of payment.



10.  Check appropriate box indicating whether or not tickets were

     charged to a University Certified Travel Agency.



11.  Amount charged.



12.  Account number charged.



13.  Check appropriate box indicating whether expenses are to be

     shared with an outside organization.



14.  Name of organization sharing expenses; address of organization;

     and the amount the other organization will contribute.



15.  Date expense incurred.



16.  Destination of trip (from and to).



17.  Amount of commercial transportation.



18.  Amount of taxi or limousine.



19.  Number of miles personal car was used.



20.  Total amount for use of personal car (number of miles times

     current mileage rate per mile).



21.  Amount for meals in travel.



22.  Amount for other meals.



23.  Amount for lodging.



24.  Amount for telephone, TWX, FAX, etc.



25.  Amount for miscellaneous expenditures (explain on back in space

     provided).



26.  Total expense for date of detailed summary.



27.  Account number(s) charged (maximum of 5 accounts).



28.  Portion (in dollars) of each type of expense distributed to

     applicable account.



29.  Total distributed to each account.



30.  Totals by type of expense.



31.  Signature of payee.



32.  University telephone number or extension of payee.



33.  Printed name of account administrator and University telephone

     number or extension.



34.  Signature of account administrator.



35.  Less advance received date and amount.



36.  Amount due payee.



37.  Amount due University.



Back of Form



38.  Date of expense



39.  Place expense was incurred.



40.  Name of persons attending and organization represented.  Provide

     social security number where applicable.



41.  Indicate type of expense.



42.  Amount of expense.



43.  Explanation of expense.



44.  Total expense.