2011 EMPLOYEE EXPENSE REPORT

Name (Please Print) Expense Report Type (Please check one)

Cash Expense Report or

Manager's Name (Please Print) If Cash Expense Report, please state overall purpose

Company Credit Card Rpt. COMPLETED AND APPROVED FORM TO ACCOUNTS PAYABLE SEND (Along with detailed receipts)
Other Travel (prkg, taxi, etc)

Receipts are required for all expenses (Attach receipts, copies of credit card charge, boarding pass for each expense)
DATE Airfare Car Rental / Rental Gas Lodging (Room & Rm Tax) NO TIPS Entertainment Employee/Grp Mtg Telephone/Cell Internet Business Mileage Cost (1) Actual # Miles

Description / Purpose, include Client Name

$0.00

$0.00 $0.00 $0.00 $0.00 $0.00

TOTAL

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

GL Code
Office DATE Postage Supplies Marketing Materials Seminars / Conference Misc Expense

Description / Purpose

TOTAL

$0.00

$0.00

$0.00

$0.00

GL Code

M & IE PER DIEM

Date & Time Depart Date & Time Arrival back from trip # Days

this section for accounting use only Per Diem Rate Total Per Diem City & State Purpose and Client Name

0.00 0.00 0.00

TOTAL

$0.00

GL Code

Total Expenses to be Paid Total Per Diem to be Paid

(1) - FOR MILEAGE CALCULATION: Multiply .51 cents by the net miles driven after subtracting normal commute mileage. As of 1/1/10 (2) - NOTE: Shaded expenses require Name, Company Name and Purpose listed in Description Foreign Currency Exchange Rate
(If applicable)

$0.00 $0.00

We certify that the above reimbursements are in compliance with Corporate Policy, had an appropriate business purpose, and are supported by appropriate documentation. A manager's signature is required for expenses requiring approval by a manager.
Employee Signature

Date Date

Manager Signature

Form Revised 1/1/10

Employee Expense Reimbursement Statement

How to Prepare an Employee Expense Reimbursement Statement

This form is used to report business mileage, customer entertainment, business meals, travel expenses, and other miscellaneous expenses. T this form can be paid by the employee with out-of-pocket cash, credit card, or Employee Corporate Credit Card. Keep a copy for your records and submit the original signed copy, with original receipts, to Accounts Payable.

Header At the top of the form full name, company, cost center, and Internal mail code. On the second line, complete your telephone number, comp name and managers telephone number. Travel - Meals, Lodging, and Transportation

Report all meals, lodging, telephone, and other transportation expenses separately that were incurred while traveling. Each line should be u expenses with a grand total at the bottom of each column. Be sure to explain the purpose of the expenses incurred in the Description/Purpos the form. Use of Personal Auto for Corpedia Business

Reporting mileage on your personal car for company business. The "Destination" and "Purpose of Trip" must be completed in the "Descrip substantiate the mileage and satisfy IRS requirements. Multiply the current mileage reimbursement rate by the net miles driven after subtra mileage to calculate the amount due. Customer Entertainment and Employee Group Meetings

These columns are to report customer entertainment and employee group meetings. If you have incurred expenses in either of these two col the second portion of this Employee Expense Reimbursement Statement. The "Date", "Place", "Persons Present", "Company", and "Busine The information in this section provides the substantiation needed to allow Corpedia a tax deduction for these expenses. Without this inform be denied a deduction and may incur additional taxable income. Postage This column is used to reimburse any postage expense incurred out of pocket other than the expense for Postage Meters.

Pre-Approved Spousal Travel Spousal travel is not generally reimbursable. Any exceptions to the policy require senior management approval. Please refer to the Employ Expense Reimbursement Policy for guidelines. Seminars/Conferences

This column is used to report Seminars and Conferences attended for Corpedia purposes. This column should not include Tuition Reimburs Reimbursements are required to be submitted through Payroll. This form should also not include expenses paid for outside consultants to p Corpedia These expenses are required to be submitted to Corpedia with the original invoice attached.

Miscellaneous Expenses This section is used to explain any miscellaneous expenses that do not fall into one of the other categories. Be sure to explain the purpose o detail. Total Expenses To Be Paid Please sum all total columns and record the entire amount due for reimbursement. Foreign Currency Exchange Rate Please complete to document the foreign exchange rate utilized to convert the expenses submitted to US Dollars.

Signatures In the bottom left-hand corner, a space is provided for your signature, and the appropriate managers signature, and date. Those with self-ap required to obtain his/her managers signature for expenses incurred within their approval limits.

General Guidelines
1. Expense Statements must be typed or written in ink. 2. A reimbursable business expense can be paid by an employee in one of three ways: > Cash > Credit Card > Employee Corporate Credit Card

3. All expenses must be clearly and correctly described on the Expense Statement. If there is not enough room on the form to completely de a more detailed description on a separate sheet of paper.

4. Original receipts must be attached for: > Air fare, if available & other transportation charges > Hotel/Lodging expenses (itemized hotel receipt is required) > Any single expenditure over $75.00 If a receipt over $75.00 is lost or is not available, a memorandum must be submitted with the Employee Expense Statement explaining the e receipt is not available. The approving manager must sign this memorandum. 5. Include all tips in the cost of that particular expenditure whenever possible (meals, taxi, etc.)

6. There are some items, which may be considered business expenses that should NOT be submitted on an Employee Expense Statement fo payment. Contributions and Subscritptions are required to be submitted to a manager. 7. No employee or department manager should approve his/her own Expense Statement unless you have proper self-approval authority. 8. The following items are considered to be personal in nature, and are not eligible for reimbursement: > Barber/Hair stylist fees > Personal entertainment (newspapers, magazines, movies, shows, etc..) > Insurance on personal property and rental cars > Travel insurance > Cost of personal credit cards > Charges resulting from misuse of lost/stolen cards > Purchase of clothing, toiletries or medications > Traveling to and from your regularly assigned place of work > Loss of personal property > Fines for traffic violations > Damages to employees car (except if conforming to HRS policy) > Cost of side trips for personal reasons > Expenses incurred because a trip was extended for personal reasons > Baby-sitters > Kennel or boarding fees > Repair of personal property while away from place of employment > Health club/spa fees

9. Employee business expenses must meet extensive record keeping requirements imposed by the Internal Revenue Service. The IRS can d business expenses if the employee fails to keep adequate records. This could result in additional taxable income to Corpedia, or in taxable i and in certain cases, could result in the employee being held liable for the expense. Therefore, it is extremely important for Corpedia emplo receipts for Airfare, if available, Hotel/Lodging and other transportation expenses and any single expenditure over $75.00 with their Expens complete description of the business purpose for incurring the expenses.

10. The Internal Revenue Service also requires that all employee business expenses must be ordinary and necessary to the conduct of Corpe production of income. Expenses that are determined to be lavish or extravagant could become the personal liability of the employee.