LREDA Expense Reimbursement Form

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1	Please download this form (click File, Download, Excel) complete the sections & email it to finance@lreda.org.
2			Complete Details Here
3	Name:
4	Position within LREDA:
5	Email:
6	Phone:
7	Preferred payment method (Check / PayPal / Venmo)
8	Account details for PayPal / Venmo:
9	Make check payable to:
10	Street:
11	City:
12	State/Province:
13	ZIP/Postal Code:
14	Purpose of Expense:
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16	Itemized Expenses (please complete a new line for each receipt)				[42]
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18	DATE	VENDOR	DESCRIPTION	CATEGORY (travels, meals, etc.)	COST	ACCOUNT CODE (treasurer's use only)
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32				TOTAL	$0.00
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34	Notes:
35	Don't forget to attach receipts!
36	For mileage, you may claim for reimbursement at the IRS rate or claim the actual amount spent on gas
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40	Signature			Date
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46	Approval Signature			Date
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