ABCDEFG
1
Expense Claim
2
3
 Name:Expense Period
4
Role/Team:From:
5
To:
6
Producer/Director:
7
8
9
Purpose (i.e. show name, event, etc...):
10
11
12
13
Itemized Expenses[42]
14
DATEDESCRIPTIONKMMileageCATEGORYCOST
15
16
17
18
19
20
21
22
23
24
25
26
N/A
27
N/A
28
N/A
29
SUBTOTAL$0.00
30
Note: Mileage reinbursement for personal car = $0.61/km
Less Cash Advance
31
TOTAL REIMBURSEMENT
$0.00
32
Don't forget to attach receipts!
33
34
Request DateProducer/President Signature
35
36
37
Approval Date
Reimbursement Send/Date
38
39