Explanation Of Business Purpose Section
Summary of Expense Section
Daily Expense Amounts
I certify that this report has been completed in conformity with the attached instructions and accurately describes the actual and necessary business expenses incurred in compliance with PHS policies unless specifically noted. I have not received reimburse
If airfare expense has been charged to a federally funded grant, I further certify that best efforts were made to obtain the lowest reasonable commercial airfare for such travel.
Employee's signature Date Email
I attest that no alcoholic beverages have been charged to a federally funded grant.
Approval Section Approvers must be individuals senior to payee. Please see PHS policy and procedure for Employee Business Expense for more information regarding approvers and circumstances requiring Special Approval
General Approval Special Approval A/P Audit
Reimbursement for CALGB Travel
Instructions for Filling Out the CALGB/Brigham & Women's/Partners Business Expense Report Form
These instructions are intended for use by CALGB travelers authorized to be reimbursed by the CALGB Chair's Office for costs incurred while traveling on CALGB business
NOTE: The Travel Voucher is not prepared or submitted on-line.
Open the Partners Healthcare Business Expense Report Excel template.
* Click "enable macros" *Enter the date
EMPLOYEE INFORMATION; Enter traveler's name, address, SSN (first expense report only, last 4 digits is acceptable. Enter CALGB in the space for department.
Explanation of Business Purpose Section: Enter departure and return dates, location, and description (i.e., Fall CALGB Committee Meeting).
SUMMARY OF EXPENSE SECTION: Each item has a row for entering expenses, fill in the boxes with the appropriate dollar amounts and add text under "Description", for example:
Instance # Date Description Air Ground Trans Lodging Meals Alcohol Other
1 9/20/10 Flight/Hotel/taxi $320 $40 $179 N/A
1 9/21/10 Taxi/Parking $40 $48
EXPENSE ANALYSIS SECTION: do not complete Parking
Enter date and email address for correspondence related to payment status
Check the attestation that alcohol is not included in the expenses to be submitted
PRINT AND SIGN FORMS, MAIL COMPLETED FORM, ALL ORIGINAL RECEIPTS AND BOARDING PASS/ITINERARY TO:
Katherine Faherty CALGB Office of the Group Chair 75 Francis Street Thorn 417B Boston, MA 02115