HLKN Business Meal Reimbursement Form

If you have issues with this form, download a PDF version and email it to hlkn-purchasing@tamu.edu

Personal Information
Name*
Dept Credit Card Used
Name of Department Head or PI Sponsor*
Email*
Address*
Street Address Address Line 2 City State ZIP Code
UIN or Vendor ID*
Expense Information
Date of Expense*
MM slash DD slash YYYY
Where was the expense incurred?*
City State / Province / Region Country
Restaurant or Food Vendor*
Purpose of meeting*
Benefit of meeting*
Name or Group Attending*
Job Title or Company*
Account or Project Name
Account Number
Payment Details
I, the undersigned, certify that the food and beverage purchased was for the business purpose described above, and that the following EXACT amount (including any applicable tax) was for the purchase of alcoholic beverages:
Payment Breakdown
Amount of Food/Non-alcoholic Beverage (OBJ Class 6340)*
Amount of Alcohoic Beverage(s) (OBJ Class 6341)*
Tip Amount*
Total Amount of Reimbursement
Please Attach Receipt*
Drop files here or

Accepted file types: jpg, png, pdf, Max. file size: 50 MB.
Verify Reimbursement
Signature*
Use your trackpad, mouse, or touch screen to sign.
Submission Date*
MM slash DD slash YYYY
Name
This field is for validation purposes and should be left unchanged.

Personal Information