University of California, Irvine Libraries
Business Meetings and Entertainment Form

Directions:
  1. Documentation Required: ORIGINAL RECEIPT(S) - please tape all 4 sides of receipt(s) to an 8.5 x 11 paper, with no loose edges. Do not highlight or tape over data on receipts.
  2. Complete reimbursement form, filling in all fields.
  3. Print, obtain host signature, and send form and receipts to the Business Office.
  4. DO NOT USE YOUR BROWSER'S BACK BUTTON TO EDIT THIS FORM!
    To return to the form for editing purposes, click on the 'Edit Form' button at the bottom of this page.

Date:     11/21/2009 Event Date: 
Name of Person to Reimburse / Vendor to Pay: 
Account-Fund-Sub-Project: 

Type of Event / Meeting
(mouse over event type for type description)
 Business Meeting
 Programmatic Activities
 Recruitment
  Employee Morale-Building
 On-the-Job Meals
 Entertainment (i.e., donor cultivation)
Business Purpose of Event / Meeting
If business meeting, please explain the business reason for providing food (i.e., long meeting with no breaks, to encourage attendance, lunch period only time available, etc.).
Total Reimbursement / Payment Requested   $ 
Reimburse Corporate Card Amount   $ 
Reimburse Personal Funds Amount   $ 
List of Attendees
(if more than 20, please provide list on separate piece of paper)
   
   
   
   
   
Number of Attendees      
Total Food and Beverage Cost 
Update this number if cost for food, beverage, and associated tax, gratuity, service, delivery charges is less than Total Reimbursement Requested. Do not include room rental.
Entertainment Allowable 		 $ 
Cost per Person 
If price per person exceeds amount allowed, your reimbursement amount will be adjusted accordingly. In rare circumstances, an overage can be reimbursed. If you feel that circumstances justify an exception, please submit a separate memo explaining the business necessity and requesting that exceptional approval be considered. 		 $ 

Certification by Host
I certify that the above is a true statement, that the expenses claimed were incurred by me on official University Business on the dates shown, that I have attached original receipts as required by the UC Policy and that I understand the Privacy Notification.



___________________________________


___________________________________
Name of Host (Type/Print) Signature of Host