Expense Report

*MUST SUBMIT RECEIPTS WITH EXPENSE REPORT and BANK ACCOUNT INFORMATION FOR ELECTRONIC DEPOSIT*

The expense report must be received within 30 days of the event for reimbursement. All approved refunds will be completed within 30 days of receiving all required information! We will charge $1.25 if we are required to reissue a paper check, which will be subtracted from your reimbursement.

For Hotel, Air Fare, Meals, and Misc, enter dollar amounts without text or special characters. For Mileage, enter the number of miles for reimbursement. Mileage is reimbursed at $0.70 per mile, which is calculated automatically upon entry in the form below.

Date	Description	Hotel	Mileage	Air Fare	Meals	Misc	Total	Operations
Date	Description	Hotel	Mileage	Air Fare	Meals	Misc	Total

Grand Total 0.00

Name

Address

City

State

ZIP

Notes

Receipts

Unlimited number of files can be uploaded to this field.
50 MB limit.
Allowed types: gif, jpg, jpeg, png, pdf.

Billing Statement

Please send a picture of a deposit slip, voided check, or screenshot of financial documentation that includes routing # and account # for electronic deposit.

One file only.
50 MB limit.
Allowed types: gif, jpg, jpeg, png, pdf.