Expense Report Form
Employee Business Expense Reimbursement Request
Trip / Business Purpose
Itemized Expenses
Please attach all receipts and supporting documentation. Receipts required for expenses over $25.
| Date | Category | Description | Vendor | Payment Method | Amount | Receipt? | Billable |
|---|---|---|---|---|---|---|---|
Mileage Reimbursement (If Applicable)
Standard mileage rate for 2026: $0.67 per mile (update as per IRS rate)
| Date | From Location | To Location | Business Purpose | Miles | Amount |
|---|---|---|---|---|---|
Reimbursement Payment Information
I certify that the above expenses were incurred for legitimate business purposes on behalf of AiPro Institute™. All expenses are accurate and comply with company expense policy. I have attached all required receipts and supporting documentation. I understand that false or fraudulent claims may result in disciplinary action up to and including termination.
Employee Signature
Date: ________________
Manager Approval
Date: ________________
Finance Approval
Date: ________________
