Per Diem Request Form
Use this Per Diem Request Form to capture trip dates, destination, lodging, meals, and incidental expenses in one place before reimbursement is approved. It helps finance and operations apply GSA-based rates consistently and document what was provided on the trip.
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Overview
This Per Diem Request Form is built to collect the details needed to request travel reimbursement under a per diem policy. It captures requester information, trip dates, destination, travel purpose, trip type, lodging needs, meals provided, incidental expenses, and the rate reference used to calculate the claim.
Use it when an employee needs reimbursement for business travel and your organization wants a consistent record before payment is approved. The form works well for pre-trip estimates, post-trip reimbursement, and finance review because it keeps the claim tied to a specific trip and rate source. Conditional logic can hide lodging or meal fields when they do not apply, which keeps the form shorter and easier to complete.
Do not use this template as a general expense report for unrelated purchases, mileage-only claims, or multi-trip summaries. It is also not the right fit if your policy requires a detailed line-item receipt upload for every meal or if you need a separate form for international travel with different rules. The best use is a single business trip where the reviewer needs enough structure to validate eligibility, apply the correct rate, and document what was provided.
Standards & compliance context
- Use only the minimum necessary personal and travel data needed to approve the reimbursement, in line with GDPR data minimization and the minimum-necessary principle.
- If the form is exposed to a broad employee audience, keep the layout accessible with WCAG 2.1 AA-friendly labels, validation, and keyboard navigation.
- The certification field should clearly state that the requester is confirming the trip details and expense basis are accurate for audit trail purposes.
- If your organization handles health-related travel or accommodation requests, avoid collecting unnecessary PII and separate any sensitive details from the reimbursement form.
General regulatory context for orientation only — verify current requirements with counsel or the relevant agency before relying on this template for compliance.
What's inside this template
Requester Information
This section identifies who is submitting the request so reviewers can route approval, verify employee status, and map the claim to the right record.
- Requester Name
- Employee ID
- Department
- Work Email
Trip Details
This section defines the business trip itself, which is the basis for eligibility, rate selection, and reimbursement timing.
- Trip Start Date
- Trip End Date
- Destination City
- Destination State
- Business Purpose of Travel
- Trip Type
Per Diem Breakdown
This section captures the actual claim components so finance can apply the correct lodging, meal, and incidental rules without guessing.
- Was lodging required?
- Number of Lodging Nights
- Were any meals provided by the host or included in registration?
- Which meals were provided?
- Incidental Expenses Amount
-
GSA Rate Reference
Optional link to the applicable GSA per diem rate table or policy reference.
Supporting Details
This section records any extra context, receipts, and certification needed to support the claim and preserve an audit trail.
- Additional Notes
- Supporting Receipts
- I certify that the information provided is accurate and that this request complies with company travel policy.
How to use this template
- 1. Set the requester, trip, and reimbursement fields to required only where your policy needs them, and use date pickers, numeric inputs, and multi-selects instead of free-text placeholders.
- 2. Add conditional logic so lodging fields appear only when lodging is required, and meal detail fields appear only when meals were provided or partially covered.
- 3. Route the form to the employee or traveler first, then to the manager or finance reviewer who will confirm the trip purpose, destination, and rate reference.
- 4. Ask the requester to attach supporting receipts only when policy requires them and to complete the certification before submission so the record is ready for audit trail review.
- 5. Review the submitted request against the applicable GSA rate or internal policy, correct any mismatched dates or missing meal details, and approve or return the form with comments.
- 6. Send the approved request into your expense, accounting, or payroll workflow and keep the submitted form as the source record for reimbursement.
Best practices
- Mark only the fields you truly need as required, because per diem forms work best when they follow data minimization and do not force unnecessary PII collection.
- Use conditional logic to hide lodging, meal, and incidental fields until the traveler selects a trip type that makes them relevant.
- Choose field types that match the data: date pickers for trip dates, numeric inputs for lodging nights, and multi-selects for meals provided details.
- Include a clear line that explains what happens after submission, such as who reviews the request and whether it goes to finance or payroll next.
- Require the traveler to certify that the trip details are accurate and that any meals provided were disclosed before reimbursement is calculated.
- Keep the GSA rate reference visible in the review step so approvers can confirm the basis of the claim without searching for it elsewhere.
- Avoid collecting receipts for items already covered by per diem unless your policy specifically requires them, since that adds friction without improving the claim.
What this template typically catches
Issues teams running this template most often surface in practice:
Common use cases
Frequently asked questions
What is this form used for?
This form is used to request per diem reimbursement for a business trip. It captures the information needed to calculate eligible lodging, meals, and incidental expenses using the applicable rate reference. It also creates a clear record of the trip purpose and any meals provided. That makes review faster and reduces back-and-forth with finance.
Who should fill out the Per Diem Request Form?
The traveler or requesting employee should complete it, since they know the trip details and what expenses were actually incurred. A manager or finance reviewer can then validate the request against policy and the rate reference. If your process requires pre-approval, the form can be routed before travel and again after the trip for final reimbursement. Keep the owner of each step clear to avoid duplicate submissions.
How often should this form be submitted?
It is typically submitted once per trip, either before travel for approval or after travel for reimbursement, depending on your policy. Some organizations use the same template for both stages by adding conditional logic for pre-trip estimates versus actual expenses. If the trip spans multiple days or locations, the form should be completed for the full travel period. Avoid using one form for multiple unrelated trips.
What fields are essential and which can be optional?
At minimum, you need the requester, trip dates, destination, trip purpose, trip type, and the per diem components being claimed. Lodging, meals provided, and incidental expenses should be marked required only when they apply, using conditional logic rather than forcing every field on every request. Supporting receipts can be optional or required based on policy and expense type. The goal is to collect only what you will actually use for approval and reimbursement.
How does the GSA rate reference work in this template?
The GSA rate reference field records the source used to determine the applicable per diem rate for the destination and travel dates. That helps reviewers confirm the request was calculated against the correct standard and supports an audit trail. If your organization uses a different rate table or internal policy, you can replace this field with your own reference source. The template is flexible as long as the calculation basis is documented.
What are the most common mistakes when using this form?
Common mistakes include entering trip dates that do not match the destination stay, claiming lodging nights that exceed the actual trip length, and forgetting to note meals that were already provided. Another frequent issue is attaching receipts without explaining why they are needed when per diem is being used. Reviewers also see errors when the rate reference is missing or outdated. Clear validation and required-field rules prevent most of these problems.
Can this form be customized for different travel policies?
Yes. You can add conditional logic for domestic versus international travel, different trip types, or department-specific approval rules. You can also rename fields to match your policy language, add a manager approval step, or include a calculation field for estimated reimbursement. If your policy treats lodging and meals differently, separate those sections so reviewers can see the basis of the claim at a glance.
Does this form integrate with expense systems or payroll?
It can, depending on how your workflow is set up. Many teams route approved requests into an expense platform, accounting system, or payroll workflow after review. The key is to keep the form structured so fields like employee ID, trip dates, destination, and rate reference map cleanly to downstream systems. That reduces manual re-entry and helps preserve the audit trail.
How should we roll this out to employees?
Start with a small group of frequent travelers and finance reviewers to confirm the fields match your policy and approval process. Then publish a short guide that explains when to use the form, what receipts are needed, and what happens after submission. If possible, include examples for common trip types so employees know how to complete the form correctly. A simple rollout usually works better than a broad launch with unclear rules.
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