EFCXM - Employee and Expense Details
Employee Name
Employee Email Address
Did you receive an advance for these expenses?
Yes
No
Advance Details
What was the amount of the advance
Do you have mileage from a personal vehicle to submit?
Yes
No
Personal Mileage Details
Total mileage
Enter numbers only. For example: 150.5
Beginning Location
Home, Office, Rental Car location, etc
Ending Location
Home, Office, City, etc
Expense 1 Details
Merchant Name
Expense Date
Expense Amount
Expense Category
Choose Category
Airfare
Hotel
Postage/Shipping
Fuel (rental car)
Meals - Personal
Meals - Entertainment
Parking
Transportation - Uber/Lyft/Taxi
Other
Expense Details
Who, what, where, when, why...?
Expense Receipt
Drop files here or click to upload.
Choose a file…
Do you have another expense to submit
Yes
No
Expense 2 Details
Merchant Name
Expense Date
Expense Amount
Expense Category
Choose Category
Airfare
Hotel
Fuel (rental car)
Meals
Parking
Transportation - Uber/Lyft/Taxi
Other
Expense Details
Who, what, where, when, why...?
Expense Receipt
Drop files here or click to upload.
Choose a file…
Need to submit another expense?
Yes
No
Expense 3 Details
Merchant Name
Expense Date
Expense Amount
Expense Category
Choose Category
Airfare
Hotel
Fuel (rental car)
Meals
Parking
Transportation - Uber/Lyft/Taxi
Other
Expense Details
Who, what, where, when, why...?
Expense Receipt
Drop files here or click to upload.
Choose a file…
Have another expense to submit?
Yes
NO
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