Reimbursement Request  ·  Popular

Simplify Employee Travel Expense Reimbursements

Easily collect and process employee travel expense claims with itemized breakdowns, receipt uploads, and per-diem policy compliance checks.

Teal theme
formbuilder.ai/f/employee-travel-expense-reimbursement-request-form
Employee Travel Expense Reimbursement Request Form
Employee Full Name
· · ·
Work Email Address
· · ·
Employee ID / Badge Number
· · ·
Submit

The Employee Travel Expense Reimbursement Request Form is a comprehensive tool designed to help organizations efficiently collect, review, and process employee travel expense claims. It captures essential employee information, trip details, business justification, and a full itemized breakdown of costs incurred during business travel.

This template is ideal for HR departments, finance teams, and operations managers who need a standardized process for handling reimbursement requests. It includes fields for company card usage, per-diem policy compliance, and over-limit justifications, ensuring all submissions are audit-ready and aligned with company spending policies.

By using this free template, you eliminate paperwork errors, speed up the approval process, and maintain a clear digital record of all travel expenditures. Customize it to match your organization's reimbursement policies and integrate it with your accounting workflows for seamless expense management.

3 Pages
23 Questions
~8min To complete
Free No credit card needed
Field types Short Text ×6 Full Name ×2 Email ×2 Dropdown ×2 Long Text ×2 File Upload ×2 daterange Table / Grid currency Single Choice termsandconditions Signature Date

Questions in this template

Free template

The exact questions included — customize any of them to fit your needs.

Page 1 Employee & Trip Information 9 questions
Employee Information
1 Employee Full Name * Full Name
2 Work Email Address * Email
3 Employee ID / Badge Number * Short Text
4 Department * Short Text
5 Job Title * Short Text
Trip Details
6 Trip Purpose / Business Justification * Short Text
7 Destination(s) * Short Text
8 Travel Dates (Departure – Return) * daterange
9 Project or Cost Center Code Short Text
Page 2 Expense Details 7 questions
Expense Breakdown
Please itemize each expense incurred during your business trip. Attach all original receipts on the next page.
1 Expense Items * Table / Grid
2 Primary Currency Used * Dropdown
3 Total Reimbursement Amount Requested * currency
4 Were any expenses prepaid or covered by a company card? * Dropdown
5 If company card was used, please specify which expenses and amounts Long Text
6 Did any expenses exceed the per-diem policy limit? * Single Choice
7 If yes, please provide justification for over-limit expenses Long Text
Page 3 Receipts, Approval & Certification 7 questions
Supporting Documentation
1 Upload Receipts & Supporting Documents (PDF, JPG, PNG) * File Upload
2 Upload Approved Travel Authorization Form (if applicable) File Upload
Manager Approval
3 Approving Manager's Name * Full Name
4 Approving Manager's Email * Email
Employee Certification
5 I certify that all expenses listed above were incurred for legitimate business purposes during the stated travel period. I have attached all original receipts and the information provided is accurate and complete. I understand that falsification of expense claims may result in disciplinary action. * termsandconditions
6 Employee Signature * Signature
7 Date of Submission * Date

How to use this template

Click "Use This Template Free" to open it in the FormBuilder editor. From there you can add, remove, or reorder fields with drag-and-drop, switch themes for instant restyling, add your logo, configure email notifications, and set your success message. When ready, publish with a unique link and start collecting responses immediately.

  • Ready-to-use structure — pre-configured fields out of the box
  • Applied "Teal" theme — fonts, colors, and layout already set
  • Mobile-responsive — works on every device without extra configuration
  • Fully editable with drag-and-drop — change anything in seconds
  • Free to use on any plan, no credit card required

Use this template

Free to use. Open in the editor, customize, and publish in minutes.

Use This Template Free Preview the form
Category Request
Subcategory Reimbursement Request
Theme Teal
Badge Popular
Price Free
Coding required None

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