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History Department Travel Reimbursement Information Form

Please review ALL items for which you are seeking reimbursement.

Make sure that you have an itemized receipt for each item you have selected, excluding mileage.

Attach receipts, conference programs/agenda, and other necessary travel information in the fields at the bottom of the form.

Attach receipts to the fields below or email Roberta a scan or image. Receipts must be provided for reimbursement.

Full Name

Texas State Email Address

Destination

Exact Departure Date (must be entered as mm/dd/yyyy)

Exact Return Date (must be entered as mm/dd/yyyy)

Travel No.

Airfare

Receipt needs to shows dollar amount. Travel itinerary not acceptable. Boarding pass not needed.

Must have receipt with dollar amount and credit card showing (or other method of payment) showing that airfare is paid.

Airfare amount

Important: Did you have airfare Company Billed to pay for the airfare?

Lodging

Receipt(s) must show a zero balance. In Teams you will find under “Travel Resources, the Texas Hotel Occupancy Tax Exemption Form” that you can present to the hotel so you will not be charged Texas tax.

You cannot be reimbursed for Texas sales tax for lodging in Texas. You can be reimbursed for out-of-state sales taxes on lodging.

Lodging Amount

Are you claiming lodging?

Transportation

Car rental amount

Was your car rental company billed?

Did you take any toll roads?

Taxi, Shuttle, UBER, Bus, Metro amounts (You can be reimbursed up to 20% on tips.)

Parking

Are you claiming mileage? (70 cents a mile effective 1/1/2025)

Conference Fees

Conference registration fee amount

Membership fee amount

Please check if any of these were company and/or department pre-paid:

Total amount budgeted for this trip

Attach Any Associated Documents