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***Please download and complete in Excel for proper fill and formatting***
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Employee ID#
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Brunswick County Schools
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Expense Reimbursement
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Effective January 1, 2026
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Employee :School/ Dept:
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Workshop:Location/City
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Departure:Return :
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DateTimeDateTime
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Instructions for completion follow this form. Please review instructions, attach required documentation
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and sign prior to submission to avoid processing delays.
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Current Allowable Rates:
BreakfastLunchDinnerHotelTotal
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In State:$10.60$14.00$24.40$94.10$143.10
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Out of State:$10.60$14.00$27.70$111.10$163.40
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DateBreakfastLunchDinner
Hotel (inc Tax)
Daily Total
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Sunday0.00
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Monday0.00
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Tuesday0.00
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Wednesday0.00
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Thursday0.00
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Friday0.00
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Saturday0.00
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Subtotals:0.000.000.000.000.00
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Mileage:
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BCS vehicle unavailable (attach documentation), reimbursement rate = 72.5 cents per mile
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Roundtrip Miles:
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Airfare, District Vehicle Refueling, Taxi, Parking or Other (attach all supporting documentation):
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Registration:0.00
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Sub-Total:0.00
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Less Advances:
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**Balance Due to Employee/BCS:
$0.00
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**If balance is negative this equals amount due to BCS. Please attach repayment.
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I hereby certify that this is a true and accurate statement of expenses incurred.
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Employee:Date:
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Supervisor:Date:
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Budget Manager:Date:
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Budget Code:
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This instrument has been pre-audited in the manner required by the School Budget and Fiscal Control Act.
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Finance Officer:Date:
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Instructions for Completion
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Request for reimbursement MUST be submitted within 30 day of return from travel
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Expense Reimbursement must be fully completed and approved with the required documentation attached
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prior to submission.
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*Attach copy of the following:
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Approved Request for Professional Leave form
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Event agenda
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Hotel receipt showing a 0.00 balance
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Google Map supporting mileage
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Airfare, taxi or shuttle service receipts
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Gas receipts if purchased for BCS vehicle
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Documentation of district vehicle denial if requesting mileage reimbursement
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*Receipts are not required for:
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*Gas when using personal vehicle
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*Reimbursement up to $5.00 for use of public transportation to and from
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the airport (in lieu of taxi or airport shuttle)
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*Meals
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Mileage should be calculated from the shorter of home or work base, to the event site
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Meal expenses included in the cost of other activities (hotel, event registration, etc.) may
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not be duplicated in reimbursement request. (Breakfast may be requested when only a continental
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breakfast is provided.)
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Lunch cannot be reimbursed without an overnight stay
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If departure time is before 6:00am and/or return time is after 8:00pm, reimbursement may be
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requested for the morning/evening meal. Specific times must be shown on Expense Reimbursement.
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All expenses should be listed on the form, including prepayments and/or advances.
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Incomplete requests will be returned for corrections and may delay payment. Packets should be
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remitted to the supervisors AA or school treasurer to obtain approvals and forward to the budget manager
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The budget managers AA should forward packet to finance once fully approved.
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