Conference Expense Report Form

You MUST have:

All original receipts
Credit card statements or cancelled checks reflecting payment
Flight itineraries and flight receipt (unless E-ticket)

Your information

First Name:		e.g., Jane
Last Name:		e.g., Student
Office:		e.g., Gates 104
Phone:		e.g., 725-1212
Email:		e.g., jstud@vlsi

Conference information and fees

Conference:
	No abbreviations or initials, please

Location: e.g., Vladivostok
Date: e.g., 1/14/00 - 1/20/00
Registration fee:
Tutorials/short courses:
Overlength paper fee:
Other:
Explain:

Transportation

Flight:		Shuttle:
Taxi/bus:		Rental car:
Parking:		Gas:
Other:		Explain:

Food

Date:		Amount:
Date:		Amount:
Date:		Amount:
Date:		Amount:
Date:		Amount:
Date:		Amount:
Date:		Amount:
Date:		Amount: