STATEMENT OF EXPENSE FOR REIMBURSEMENT FORM - MEACsports.com - The Official Site of the Mid-Eastern Athletic Conference

STATEMENT OF EXPENSE FOR REIMBURSEMENT FORM

A copy of the Approval for Travel Form signed by the Commissioner must accompany this form.

Required Fields in Bold

	Name

	Title

	Address

	City/State/Zip Code

	Purpose of Trip

	Other Staff Members on Trip

	Dates

	Site

	Time & Date of Departure

	Time & Date of Return

	Roundtrip Transportation From

	Roundtrip Transportation To

	Mileage - $0.30 Per Mile by Automobile

	Other (Describe) (Attach copy of airline ticket, etc. if applicable cost)



	Rental Car Cost

	Per Diem

	Lodging: A copy of the hotel bill must be attached

	Gratitude

	Additional Expenses: Attach receipt(s) with explanation

	TOTAL EXPENSES