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
