This image shows the Preview window. The First Name field shows the entry Charles. The Last Name field shows the entry Dickens. The Start Date field is set to 05/11/17 and the End Date field is set to 05/16/17. The Cost field shows the entry $ 550.00. The Justification field shows the entry Customer Visit. The Expense Details table shows the two columns Expense Type and Amount. The Expense Type drop-down shows the entry Airfare, and the Amount field shows the entry $550. A Submit button is at the bottom right of the window above the payload values field.