Staff - Travel Reimbursement Form First Name * Last Name * KU Employee I.D. Number * This number can be found on your paystub. Mailing Address * City * State * - Select -AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Marianas IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming Zipcode * Phone Number * Email Address * Job Title Department Total Miles * Travel Dates and Event Descriptions * You must provide the specific dates and reasons you were on campus in order to receive reimbursement. Please write each exact date and reason in the box above as well as the event description. Tolls Paid Yes If selected, please specify amount below and Bus Passes state: Please turn bus passes in at Front Desk Regnier Hall on the Edwards Campus. Amount Paid $ Beginning address * Ending address * Beginning address (if multiple trips occurred) Ending address (if multiple trips occurred) Attach Map Quest map Files must be less than 2 MB.Allowed file types: gif jpg png bmp eps tif pict psd txt rtf html pdf doc docx ppt pptx xls xlsx xml. Attach receipts, etc. Files must be less than 2 MB.Allowed file types: gif jpg png bmp eps tif pict psd txt rtf html odf doc docx ppt pptx xls xlsx xml.