TravelExp

Use this form to submit travel reimbursement when
working away from your primary location.

Note: This expense is reimbursable only for the
previous pay period (listed on each pay check).
You must submit this form within 2 weeks of the
previous pay period to receive reimbursement.

You're Fired reimburses $3 for each shift away
from your primary location. This is to cover gas
and/or toll expenses.


Employee Name:

	Primary Location

	List dates during pay period that you worked away from your primary location

	Total reimbursement (# of shifts X $3)

		Last 4 digits of SSN (this is your electronic signature certifying the accuracy of this information.)

			Last 4 digits SSN:


Two week Pay Period ending:

	Note: This date must be within the last 2 weeks)