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You are here: Home / Business / Report Template / 5 Excel Report Templates / Free Excel Business Expense Report Form Template Download

Free Excel Business Expense Report Form Template Download

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excel-business-expense-report-form-template

image

H C S


For Office Use Only


Vendor No

Voucher Id

Date




1099 Eligible Yes No



PARTNERSTM

EALTH ARE YSTEM


Date Employee Business Expense Report (Appendix A-1)

Employee Information

Name Address SSN

Department


Explanation Of Business Purpose Section










Instance Date(s) Location

1

2

3


Summary of Expense Section


Description / Explanation


image

image

Daily Expense Amounts


Instance #


Dates


Description


Air


Ground Trans


Lodging


Meals

Alcoholic Beverages


Other


TOTAL










$ -










$ -










$ -










$ -










$ -










$ -










$ -










$ -










$ -










$ -










$ -










$ -










$ -


$ -

$ -

$ -

$ -

$ -

$ -


Expense Analysis Section

Less Advances Paid to Employee




Less advances paid to vendor(s)


image

Total Expense

Non-PHS Reimbursement

Total Owed Employee/(PHS)

$ -

$ -

$ -

Prepared By

Katherine Faherty

Expense Distribution


Bus Unit

(4 Digits)

Account

(6 Digits)

Department (6 digits)

Phys ID

Prjct\Grnt (6 Digits)


Activity ID


Resource Type

Amount

Phone

617-525-3022









Approvers Email


































Payee Attestation Section





Total Check Request or (amount owed PHS)

0.00

image

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

image 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

Signature




Print Name




Title




Date




Reimbursement for CALGB Travel

Instructions for Filling Out the CALGB/Brigham & Women's/Partners Business Expense Report Form

April 2010


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).


Instance #

Dates

Description

Explanation

#1

9/20-21/10

Chicago, IL

CALGB Fall 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


PAYEE ATTESTATION:

  • 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


image

Parking


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



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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 Signature Print Name Title Date Reimbursement for CALGB Travel Instructions for Filling Out the CALGB/Brigham & Women's/Partners Business Expense Report Form April 2010 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 PAYEE ATTESTATION: * 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
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