The University of Memphis
  Athletics Recruitment Expense Claim
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Coach's name: Banner ID#: 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 $0.47 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_______________