UNITED NATIONS   NATIONS UNIES			                  VOUCHER FOR REIMBURSEMENT OF EXPENSES
To be completed by Finance:

Amount:	Cheque No.
	Examiner:	Currency:	Voucher No.:	
	Bank No.
	Approving Officer:	Country:	Date:	
To be completed by the Claimant (Please type or print)
		
Payee: 
     	Index no.:
     	Category:
     		
Reimbursement	  Reimbursement through Payroll		Duty Station:	     	
	  Direct deposit to Bank Account:	Bank name & account no:
     	Dept./Div./ Office:	     	
			Travel Req./ PT 8/Aut. no.:	     	
	  Cheque to pick up from Cashier’s office:   	Your e-mail and phone no:
     	Account/
BAC no.:	     	
	  Cheque to be mailed to:	Mail address:
     			

DATE
(d/m./y)	At-tach-ment No.	DESCRIPTION OF EXPENSES and ATTACHMENTS
Tickets purchased, Terminal Expenses, Telegrammes, Taxis,
Authorized excess baggage, unaccompanied shipments etc.	LOCAL CURRENCY	EXCHANGE RATE	U.S.$ 
EQUIVALENT	For official use only
APPROVED AMOUNT	
     	1.	Signed PT-8	     	     	     	     	
     
	2. 	Copy of Airline Ticket (if applicable)	     	     	              	     	
     	3.	Boarding Card(s)	     	     	     
	     	
     	4.	Terminal Expenses	     	     	     
	     	
     	  	     	     	     	     
	     	
     	  	     	     	     	     
	     	
     	  	     	     	     	     
	     	
     	  	     	     	     	     
	     	
			TOTAL TRAVEL ALLOWANCE (See next page)	     
	
     I claim the subsistence and terminal expenses in connection with the journey (as indicated on the reverse side hereof), which I certify to have been made as authorized.  I certify that all amounts claimed either represent actual disbursements made by me or, if standard rates were applied, agree with my entitlements. I further certify that dependants indicated, actually travelled as shown.	TOTAL	     	
Signature of Claimant:	
     	Date:
(d/m/y)	     	LESS ADVANCES	     	
     
     This claim is in conformity with the journey as actually authorized.  Payment of subsistence and/or transit allowances is approved for all official stopovers and necessary travel time reported by the Claimant on the reverse side, except as otherwise noted by me.
 NO EXCEPTIONS       FINAL CLAIM       FOR EXCEPTIONS, SEE next page
			
	BALANCE DUE TO UN IF ANY	     	
	NET PAYMENT	     	
Name and Signature of Admin./Certifying Officer:	
     	Date:
(d/m/y)	     			

GENERAL ACCOUNT	AMOUNT (U.S.$)
Dr. or Cr.*	ALLOTMENT ACCOUNT	LIQUIDATION AMOUNT	OBLIGATION DOCUMENT	DESCRIPTION/I.O.V.	

						

Total Debits	Total Credits		Total Liquidations			
	
*Indicate by brackets
 Submit original claim to FINANCE/OPPBA
	
					 (Continued on next page)
TO BE COMPLETED BY CLAIMANT

PLEASE TYPE or PRINT: Extra sheets should be attached with full explanation of lengthy or involved travel.  Submit a separate Form F.10 if eligible dependants have itineraries that differ from yours.  Subsistence may be subject to a reduction after 60 days under Staff Rules.

Do you have eligible dependants residing with you at your official duty station?   
  Yes       No  
	ANNUAL LEAVE TO BE CHARGED:

	Remarks:  List names and ages of dependants

     	
	   	DAYS		
	For Official use only		
CITY AND COUNTRY OF DEPARTURE AND ARRIVAL	MODE OF TRAVEL
	DATE	HOUR*	Indicate whether UN or GOVT. vehicle was made available at DEP and/or ARR 
Yes or No	Indicate number of days that Accommodation or
Meals were provided		COMMENTS OF ADM./CERTIFYING OFFICER REGARDING STOP-OVERS, DELAYS, ETC.	
	Air, Ferry, Rail, Official/Personal/Hired Car, Bus, Taxi	DAY/
MONTH/
YEAR						
DEP.:      		     	     		Accommodation      Meals       			
ARR.:      		     	     		Accommodation      Meals       			
	Official       Personal     
					
DEP.:      		     	     		Accommodation      Meals       			
ARR.:      		     	     		Accommodation      Meals       			
	Official       Personal     
					
DEP.:      		     	     		Accommodation      Meals       			
ARR.:      		     	     		Accommodation      Meals       			
	Official       Personal     
					
DEP.:      		     	     		Accommodation      Meals       			
ARR.:      		     	     		Accommodation      Meals       			
	Official       Personal     
					
DEP.:      		     	     		Accommodation      Meals       			
ARR.:      		     	     		Accommodation      Meals       			
	Official       Personal     
					
DEP.:      		     	     		Accommodation      Meals       			
ARR.:      		     	     		Accommodation      Meals       			
	Official       Personal     
					
*HOUR should indicate time of departure from or arrival at airports, piers or railroad stations.  Any deviation from itinerary and standards of accommodation authorized, and any stopover not authorized thereby must be supported by full explanation; otherwise your claim may be reduced.	NOTICE TO TRAVELLER: All receipts for transportation and excess baggage, used air transportation stubs and any unused transportation tickets and excess baggage coupons (MCO’s) must be returned to the United Nations together with the original Travel Authorization and attached to the claim.			

REMARKS: (List here attached unused tickets by stating ticket
Number and the route covered by the ticket.)  
     	Total Travel Allowance in U.S. $ …...		
	For Official use only:

Initial:

Date:	Value of MCO’s received:	U.S.$      	
		Value of MCO’s used:	U.S.$      	
		BALANCE OF MCO’s to be returned to the U.N.:	U.S.$      	
		The balance of the MCO’s is represented by the following coupon numbers: