Athletic Recruitment Expense Claim

Athletics Recruitment Expense Claim
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Coach's name: SSN#: Index #/Acct. Code:
Prospect's name:
Prospect's Street Address: City: State: Zip:
Arrival Time: Departure Time: Date(s) of Official Visit: to

Lodging, mileage, and airfare reimbursements to be paid directly to student recruit should be submitted on an approved Claim for Traveling Expenses form.

PAY TO OTHERS

PAY TO COACH

A. TRANSPORTATION

Airline: Make payment to Travelennium.
Automobile: I hereby acknowledge a mileage claim of miles at $0.46 per mile.
This results in a total receipt of $ .

_________________________________
Recruit's Signature Date

B. STUDENT HOST(S)

(I.) I hereby acknowledge receipt of $ paid to me in cash for expenses in connection with hosting the prospective student athlete named above.
_______________________________________
Student Host (I)'s Signature Date

(II.) I hereby acknowledge receipt of $ paid to me in cash for expenses in connection with hosting the prospective student athlete named above.
_______________________________________
Student Host (II)'s Signature Date

$

$

C. LODGING
Name of hotel (Attach room folio):

D. MISCELLANEOUS EXPENSES (Including meals, parking, etc. If additional spaces are required, attach additional sheet. Receipts are required. Meal reimbursements require completed Request for Meal Reimbursement Form.

Date Explanation
$
$
$
$

$
$
$
$

TOTAL DUE CLAIMANT:

I certify that this expense statement and claim is true and correct.

Coach's Signature________________________________________ Date_________

Department Approval _____________________________________ Date_________

Compliance Office _______________________________________ Date_________ Accounting_______________