Travel Reimbursement Use this form to request reimbursement for travel expenses incurred during approved CTC training. Submit the completed form within 30 days of your trip, along with all required documentation. Only pre-approved expenses are eligible for reimbursement. Incidentals on hotel bills are not reimbursable, and airfare must be pre-approved. For mileage, attach a MapQuest or equivalent printout; for tolls, attach an EZ-Pass statement or receipts. Member InformationName(Required) First Last UBC ID(Required)Local(Required)2045157212740926155622872790Home Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Phone(Required)Email(Required) Trip DetailsExpense categories include: Mileage, Tolls, Meals, Lodging, Airfare (if approved), Baggage, and Other Approved Expenses.Training Program(Required)Hammonton, NJUnderwater Welding, Philadelphia, PATraining Location(Required)Hammonton, NJTrip Start Date(Required) MM slash DD slash YYYY Trip End Date(Required) MM slash DD slash YYYY Total number of days(Required)One-way Miles (Home → Training)Policy: Reimburses miles in excess of threshold (60 miles) IRS mileage rate ($.70/mile)Total Reimbursable for Miles (Calculated)This calculated value estimates how much you will be paid out for miles driven. The first 60 miles each way are not reimbursable. You will be paid $.725 for each mile after 60 miles driven.Total Spent on TollsTotal Spent on MealsAllowed maximum: $85 / day; Only when meals are NOT provided by the training facilityTotal Spent on LodgingTotal Spent on AirfareTotal Spent on BaggageLimit: one checked bag per leg of travel.Total Spent on Other Approved ExpensesTotal Reimbursement RequestedUpload Required DocumentationReceipt Attachment Checklist(Required) Itemized receipts for all expenses claimed Mileage documentation (MapQuest or equivalent), if claiming mileage Toll documentation (EZ-Pass statement and/or receipts), if claiming tolls Hotel folio (itemized), if claiming lodging (incidentals not reimbursable) Baggage receipt(s), if claiming baggage (one checked bag per leg) Airfare receipt, if claiming airfare (approved purchases only) Explanation & receipts for any other approved expenses All Receipts(Required)You can upload multiple files here. PDF or images (JPG, PNG, etc.) Drop files here or Select files Max. file size: 32 MB. Mileage Documentation(Required)Max. file size: 32 MB. Toll Receipt(Required)Max. file size: 32 MB. Hotel Receipt(Required)Max. file size: 32 MB. Baggage Receipt(Required)Max. file size: 32 MB. Airfare Receipt(Required)Max. file size: 32 MB. Non-Reimbursable Expenses Alcoholic beverages Personal entertainment expenses Hotel room service, movies, or other incidental charges Travel upgrades (first class airfare, premium seating, etc.) Expenses without receipts Personal travel unrelated to training Other Approved Expenses (if applicable)(Required)Optional. Attach explanation & receipts for Other Approved expenses.Other Approved Expenses - Receipts(Required)Attach receipts for Other Approved expenses. Drop files here or Select files Max. file size: 32 MB. CertificationI certify that the expenses submitted are accurate, were incurred for approved training travel, and comply with the CTC Travel and Expense Reimbursement Guidelines.Signature(Required)
