United Nations		 NATIONS UNIES	Voucher for reimbursement of expenses	
To be completed by Controller
     	Cheque No.
     	Examiner:
     	Currency:
     	Voucher No.:
     	

1. Enter your name, index number and phone number here

Amount: 
     	Bank No.
     	Approving Officer:
     	Country:
     	Date:
     	

2. Put your bank account details here. ICTY will send any payments due to your bank account

to be completed by claimant (Please TYPE or PRINT)	This space to be filled in by HQ.	
payee: 	     	category:	     		
Cheque to be:		Called for at CASHIER’s Office  - Indicate your Tel. Ext.		Duty Station:		
		Mailed to following address:		Dept., Div. or Office:		

3. Please indicate where your processed copy can be sent to you?

		Mailed to following BANK A/C:		pt.8 or mod no.:		
		AND  Payee Advice to be mailed to:		Account no.:		

date	At-tach-ment No.	                   description of expenses                   
Tickets purchased, Terminal Expenses, Telegrams, Taxis, Authorized excess baggage’s, etc.	
local currency	
exchange rate	
u.s.$ equivalent	For Financial 
Services
                                
Approved Amount	
	1	Signed PT-8	     	     	     	     	

4.Which terminal

	2	Airline ticket (copy)	     	     	     	     	
	3	Boarding cards or final statement of departure	     	     	     	     	
	4	Terminal expenses  eg depart The Hague	     	     	     	     	

5. State how much at each terminal, up to $USD27 own transport, or $USD9 with UN paid for transport.
SOP-TRA-001

	5	Terminal expenses eg arrive Sarajevo	     	     	     	     	
	6	Terminal expenses eg depart Sarajevo	     	     	     	     	
	7	Terminal expenses eg arrive The Hague	     	     	     	     	
     	     	Witness Expenses as per attached 	     	     	     	     	

6. Using policy on witness expenses, state amount and attach worksheet policy SOP-TRA-004

     	     	Other Expenses	     	     	     	     	

7. List all other expenses that are claimed, eg telephone AI/2000/11
fuel and vehicle AI/2000/12
local trspt IC/99/29

     	     	     	     	     	     	     	
     	     	     	     	     	     	     	
		total travel allowance (See reverse side)	     	

14. Sign and date the claim

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 further certify that all expenses claimed represent actual disbursements made by me, and dependants indicated, actually travelled as shown.	
total	
     	

Signature of Claimant: _________________________________________ Date:  ______________________	
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.	balance due un
if any ....................	     	
			
		No exceptions		final claim		for exceptions, see reverse	net payment	     	
Signature of Admin./
Certifying Officer:  ____________________________________________ Date:  ______________________			
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 Claim	-	ORIGINAL plus ONE copy to FINANCIAL SERVICES
		-	ONE copy to CERTIFYING OFFICER

to be completed by claimant	annual leave to be charged:	Remarks: List names and ages of dependants	

8.How many private days

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 which differ from yours. Subsistence may be subject to a reduction after 60 days under Staff Rules.	
00 Days		
Do you have eligible dependants residing with you at your official duty station?			
Yes		No			For Use of Controller ONLY		
		DATE		Indicate whether		comments of	
CITY AND COUNTRY OF DEPARTURE OR ARRIVAL	MODE OF TRAVEL	day	month	year	HOUR*	UN or GOVT. vehicle was made available at DEP. and/or ARR.
Yes           No		Adm./certifying officer regarding stop-over delays, etc.	

13. Was a UN, or hire car or govt vehicle available to take you to the terminal (depart) or from the terminal (on arrival).

dep.:  The Hague	Air KL85	27	04	00	4pm		x	     	     	
Arr.: Sarajevo	Air	27	04	00	6pm	x		     	     	
	 Official	x				     	     	
	 Personal					     	     	
dep.: sarajevo	Air KL86	30	08	00	9am	x		     	     	
 Arr.: The Hague	Air	30	08	00	11am		x	     	     	

12.Time and dates of travel. These should be reflective of where the night was spent.

	 Official	x				     	     	
	 Personal					     	     	
dep.: 		  	  	  				     	     	
 Arr.: 		  	  	  				     	     	
	 Official					     	     	
	 Personal					     	     	

11. Mode of travel (eg Air, Surface, Ferry ), including flight, bus or train numbers if applicable, or UN, military, or hire car etc

9. Itinerary to be stated, each leg, including internal trips by car

10.State whether the UN or Airline provided you with free meals or accommodation

dep.: 		  	  	  				     	     	
 Arr.: 		  	  	  				     	     	
	 Official					     	     	
	 Personal					     	     	
dep.: 		  	  	  				     	     	
 Arr.: 		  	  	  				     	     	
	 Official					     	     	
	 Personal					     	     	
dep.: 		  	  	  				     	     	
 Arr.: 		  	  	  				     	     	
	 Official					     	     	
	 Personal					     	     	

Important Information

dep.: 		  	  	  				     	     	
 Arr.: 		  	  	  				     	     	
	 Official					     	     	
	 Personal					     	     	
dep.: 		  	  	  				     	     	
 Arr.: 		  	  	  				     	     	
	 Official					     	     	
	 Personal					     	     	
* HOUR should indicate time of departure from or arrival at airports, piers or railroad stations. Any deviation from	NOTICE TO TRAVELLER: All receipts for transportation and excess baggage coupons (MCO’s) must be returned to		     	
itinerary and standards of accommodation authorized by Form PT.8 and any stop-over not authorized thereby must be	the United Nations together with the original Travel Authorization (PT.8) and attached to the claim. The		     	
supported by full explanation; otherwise your claim may be reduced.	Laissez-Passer should be returned to Visa and Entitlements Unit upon completion of the travel.		     	
REMARKS: (List here attached unused tickets by stating ticket number and the route covered by the ticket.)	Total Travel Allowance in u.s.$ . . . . . . . . . .	     	
     	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: