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| Category: | | Travel | |
| Title: | | Travel Voucher (State of New York) |
| Type: | | For State Employees | |
| Format: | | Adobe Acrobat (PDF)1 | | Microsoft Word/Excel | |
| Form: | |  | | | |
| Size: | | 301 KBytes | | Not Available | |
| Form Date: | | 06/04 | | | |
Related Link:
Special Notes:
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The Travel Voucher, also known as AC-132, is used for State Employee Reimbursement |
Instructions and Examples:
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Please type or print clearly. If additional space is needed use the Travel Voucher Detail Sheet AC148.
Item 1 Enter your agency’s name, and your agency’s five digit code.
Item 2 Enter your Social Security Number in the “Payee ID” block. (Required)
Item 3 Enter your last name, first, and middle initials and suffix, e.g. Jr., Sr.
Item 4 Enter your Negotiating (Bargaining) Unit Code.
Item 5 Indicate whether you have been issued an advance. If yes, indicate amount. If
continuous, check continuous box also.
Item 6 Enter the name of your travel destination (city, town, etc.). Traveler must identify
County of destination.
Item 7 Enter specific purpose of trip.
Items 8 & 9 If more than one trip, lis t each one on AC148 (not necessary if shown on AC160)
Item 10 Enter principal means of transportation (train, bus, state car, etc.).
Items 11 & 12 Indicate whether or not a transportation request or lodging request or both were used. If
so, indicate request number(s).
Item 13 Fill in and explain the entries related to transportation expenses. (May include train, bus,
air, taxi, etc.).
Item 14 Multiply the number of days claimed by the appropriate per diem rate to compute the
total per diem allowance. Deduct from this total the amount of any lodging request(s)
used and enter the net figure in the amount column. (Space is provided if more than one
per diem rate is applied).
Item 15 Enter all meals not included in per diem. Space is provided if mo re than one rate is used.
Item 16 List all miscellaneous expenses claimed (telephone, parking, etc.). This line can also be
used for further explanation of any item(s). If additional space is needed use “Voucher
Detail Sheet” AC148.
Item 17 If a privately owned vehicle was used for travel, attach a completed AC160. Enter the
total mileage from the AC160 on voucher line 17, and compute mileage allowance
entering total in amount column.
NOTE: Use AC148 Voucher Detail Sheet only if additional space is required in order to include
all necessary information. Any amount listed on AC148 must be summarized in
pertinent areas on AC132. |
Revision History:
06/04 -
02/04 - Form Creation |