TRAVEL EXPENSE CLAIM
                                                                                                                                                                  CALIFORNIA STATE UNIVERSITY MARITIME ACADEMY
                                                                                                                                                                                            200 Maritime Academy Drive
                                                                                                                                                                                                      Vallejo, CA 94590
                    Business Unit:
                    Campus               Foundation
                    Claimant's Name                                                                                                    Position                                                       Employee ID                                            Department                                                                         Payment Method
                                                                                                                                                                                                                                                                                                          ACH (bank info must be on file with AP)
                                                              Residence Address                                                                                     City/State/Zip                                               Phone                                     Month                          Mail Check
                                                                                           Location                                                                  Subsistence                                                                                   Transportation                                                             Business Expenses                                  Total 
                          Date               Time                                     Where Expenses                                                                                             Incidentals                    Cost of                     Type            Tolls/                       Private Car                               List                                          Travel
                                                                                        Were Incurred                                               Meals                 Lodging             $7/day after 24 hrs of       Transportation                   Used          Parking                                                                Items                  Total                 Expense
                                                                                                                                                                                                       travel                                                                                Miles             Rate          Amount          Purchased
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                        Total Cost of Trip                                                                                                                        -                         -                         -                                   -                           -                           0.560               -                                            -     $                      -   
                            Amount paid by University including Procard Payments                                                                                                                                                                                                                                                                                                        $                      -   
                                                                                                                                                                                                                                                                                                                                                             Total Claim                $                      -   
                      Account                Fund            Dept ID           Program               Class               Project                 Amount                                                                                                                                 Notes
                    Total Claim (must match Total Claim amount above)                                                                         $              -   
                                                                                                  Purpose of Trip (attach original receipts when required)                                                                                                                                                                           Normal Work Hours
                                                                                                                                                                                                                                                                                                                          Private Vehicle License Number
                    I HEREBY CERTIFY that the above is a true statement of the ACTUAL travel expenses incurred by me in accordance with Campus Travel Policy and CSU Travel Procedures AND the CLAIM TOTAL amount above has not 
                    been reimbursed from any other source or previously submitted for reimbursement.
                                                Claimant's Signature                                                     Signature of Authorized Approver                                                            Name/Title of Approver                                                                                                        Date
                    08/10/2022                                                                                                                                                                                                                                                                                                                                                                    STD. 262 (REV 01/21)