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Summary: Final Arrival Location: Final Arrival Date: Final Arrival Time:
FOREIGN TRAVEL
REIMBURSEMENT WORKSHEET
Name: _________________________________________
UC-employees please enter your Employee ID#:________
Extension: __________________________
E-mail Address: ______________________
Home Campus: ______________________
Date:_____________________
Non-UC travelers - your SSN # is required:_______________
U.S. Citizen: Yes No
City of Residence: ____________________________
Vendor I.D. # (if known): _______________________
Purpose of Travel:
Destination:
Did you obtain a Travel Advance for this trip? No Yes
Was there any personal time during this trip? No Yes From: To:
TRANSPORTATION
PER DIEM (MEALS AND LODGING)
Airfare: RT Paid for by: Credit Card Charged to Department
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