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  • Statement of Meals Claimed

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    Mary Zurlo Blancha
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    This document is a statement of meals claimed form for an employee of the State of New York. It requests the employee's name, travel start and end dates, and any additional meal details including date, departure/arrival times, description, and amount claimed if over the standard per diem rate. The form is to be submitted along with an expense report when additional space is needed to provide all relevant meal reimbursement information.

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    Meals Claimed Fill-In

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    This document is a statement of meals claimed form for an employee of the State of New York. It requests the employee's name, travel start and end dates, and any additional meal details including date, departure/arrival times, description, and amount claimed if over the standard per diem rate. The form is to be submitted along with an expense report when additional space is needed to provide all relevant meal reimbursement information.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    16 views1 page

    Statement of Meals Claimed

    Uploaded by

    Mary Zurlo Blancha
    This document is a statement of meals claimed form for an employee of the State of New York. It requests the employee's name, travel start and end dates, and any additional meal details including date, departure/arrival times, description, and amount claimed if over the standard per diem rate. The form is to be submitted along with an expense report when additional space is needed to provide all relevant meal reimbursement information.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    of 1

    AC3258-S (Effective 1/12)

    State
    of
    New York

    STATEMENT OF MEALS CLAIMED


    Submit with expense report Use this form only when additional space is required to submit all necessary information

    Name

    Travel Start Date

    If claiming an additional meal


    Date
    Departure Time

    Arrival Time

    Travel End Date

    Description
    (e.g. Additional Breakfast Albany or Full Per Diem Syracuse)

    Amount
    Claimed

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