COMMUNITY COLLEGE OF ALLEGHENY COUNTY
AFT "Common Fund" Expense Report Form
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Name (Last, First, Middle Initial)
Campus
Department
Date
Colleague ID Number
Street Address
City
State
Accounting Coding
Zip Code
Fund
Object
Department
Location
Amount
All Expenses
Date
Description
Amount
Advance Reconciliation Complete only if you received an advance. Total Expenses Advance(s)
List each advance to be
accounted for in this section.
Total Advances
If total expense(s) is greater than total advance(s), amount due you: All checks will be mailed to your home address If total advance(s) amount is greater than the total expenses Amount Due CCAC:
Remit check payable to “ CCAC
* Local travel reimbursement for mileage is limited to miles driven in excess of your normal daily commute. *Attach a copy of approved "trip request" form for all conferences and out-of-county travel. *Original receipts for expenses, including food & airline tickets, must accompany the Expense Report and be returned to the campus Business Office.
Total Expenses
3). AFT Vice President: (as required by contract ) Date:
I am not receiving reimbursement from any source, including state and federal agencies other than the Community College of Alleghen y County for the expenses claimed on this expense report. I have included only expenses permitted by CCAC board approved policies and regulations.
4). Regional President/Vice President
Date:
5). P rovost/President (over $4,000)
Date:
Print Name:
Date:
6). Vice President, Finance:
1). Signature:
Date:
2). Authorized Dean
Date:
This publication was modified by the CCAC ITS Department
Expense Report-FRM2- JMK- Rev Sept 20
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