Business Services 32 Campus Drive Missoula MT 59812 Phone: (406) 243-6260 FAX: (406) 243-4929
Request for Reimbursement of Actual Lodging Costs
In-State/Out-of-State
Important Note: Complete & Print Form. Obtain Signatures & Route to Accounts Payable.
Today's
Date:
    
 
Employee Student
Dept/Contact(Name & Phone):
Departure Date: Return Date:
Name:     
Banner ID/SSN:
Address:     
City: State: Zip:
Destination/Business Purpose:
In State (Check one)
Lodging Costs are temporarily unavailable, due to seasonal demand or to special functions.
Emergency travel arrangements precluded being able to find accommodations at state rates.
Remote locations with limited accommodations within a 15-mile radius preclude obtaining accommodations at the state rate.

Rate to be approved:


Out-of-State (Check one)
Government rates were requested and were not available at the hotel where the employee is staying.
Government rates are not available at another hotel within a reasonable distance from the convention hotel.
Emergency or last minute travel arrangements preclude finding accommodations within the federal guidelines.

Rate to be approved:


Reimbursement at actual cost is within the appropriation level authorized by the University of Montana.

Employee Signature:                                                                   Date:                       
Supervisor/Advisor/PI:                                                                 Date:                       
Dean/Director/VP:                                                                        Date: