Missouri State Expense Report Template
Summary
The State of Missouri provides a standardized Monthly Expense Report form (MO 300-1189, revised 10-2021) for state employees to document reimbursable business expenses. The form captures employee identification, travel dates and mileage, meal and lodging costs, and requires certification that expenses were necessary for state business and have not been reimbursed from other sources. The form includes fields for department coding, approval signatures, and optional military service disclosure for Missouri veterans' services referral.
“I hereby certify the above claim is correct, that these expenses were necessary to conduct state business, that payment has been made from personal funds for which I have not been reimbursed, nor will I receive from any source any payment for these expenses.”
About this source
GovPing monitors Missouri OIG for new government & legislation regulatory changes. Every update since tracking began is archived, classified, and available as free RSS or email alerts — 3 changes logged to date.
What changed
This document establishes a standardized expense report template for Missouri state government employees and departments. The form sets out required fields for employee identification, travel expense documentation including mileage, meals, lodging, and requires a certification statement confirming expenses are necessary and unreimbursed. State employees submitting travel reimbursement claims must use this form as provided by the Office of Administration. No modifications to rates or formulas are permitted on the form itself.
Archived snapshot
Apr 22, 2026GovPing captured this document from the original source. If the source has since changed or been removed, this is the text as it existed at that time.
STATE OF MISSOURI
MONTHLY EXPENSE REPORT
FOR MONTH OF PAGE ______ OF ______
DEPARTMENT/DIVISION OR INSTITUTIONDO NOT MODIFY RATES OR FORMULAS. EMPLOYEE NAME (LAST, FIRST) VENDOR CODE (LAST 4 DIGITS OF SOCIAL SECURITY NUMBER)
xxx-xx-_______________________
OFFICE ADDRESS WO RK PHONE NO. UNIT/COUNTY LOCATION CODE OR DOCUMENT NO.
OVER- STANDARD RET FLEET BREAK-DATE FROM/TO & PURPOSE NIGHT LUNCH DINNER LODGING OTHER* TOTAL MILES (X) MILES FASTSTAY (X)
TOTALS OF ABOVE 4 TOTALS FROM OTHER PAGES 4 TOTAL STANDARD MILES 4 AT ¢ PER MILE 4 TOTAL FLEET MILES 4 AT ¢ PER MILE 4
TOTAL INSTATE TOTAL OUTSTATE TOTAL REIMBURSABLE EXPENSE 4$ $
DATE *EXPLANATION OF OTHER
I hereby certify the above claim is correct, that these expenses were necessary to conduct state business, that payment has been made from personal funds for which I have not been reimbursed, nor will I receive from any source any payment for these expenses.
APPROVAL SIGNATURE CLAIMANT SIGNATURE DATE
TITLE DATE TITLE OFFICIAL DOMICILE
APPR UNIT ACTIVITY FUNCTION OBJ/SUB JOB NUMBER REP CAT AMOUNTFUND AGCY ORG/SUBVERIFIED BY AND DATE / / / / / /CODED BY AND DATE / / / / / /CK CATEGORY / / / / Yes N oHAVE YOU OR AN IMMEDIATE FAMILY MEMBER SERVED IN THE U.S. ARMED FORCES? Yes N oIF YES, WOULD YOU LIKE INFORMATION ABOUT MILITARY-RELATED SERVICES IN MISSOURI?
MO 300-1189 (10-2021) SAM II
0.5500.340
Related changes
Get daily alerts for Missouri OIG
Daily digest delivered to your inbox.
Free. Unsubscribe anytime.
About this page
Every important government, regulator, and court update from around the world. One place. Real-time. Free. Our mission
Source document text, dates, docket IDs, and authority are extracted directly from MO OA.
The summary, classification, recommended actions, deadlines, and penalty information are AI-generated from the original text and may contain errors. Always verify against the source document.
Classification
Who this affects
Taxonomy
Browse Categories
Get alerts for this source
We'll email you when Missouri OIG publishes new changes.
Subscribed!
Optional. Filters your digest to exactly the updates that matter to you.