Expense Reimbursement Step 1 of 6 16% URLThis field is for validation purposes and should be left unchanged.Name(Required)Email(Required) Address(Required) Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Purpose of Expense(Required)Finance CommitteeDepartment Executive CommitteeReligious Emphasis CommitteePost Activities CommitteeEnvironment Conservation CommitteeMembership CommitteeAmericanism CommitteeChild Welfare CommitteeDMS CommitteeEmployment CommitteeGifts for Yanks CommitteeLaw and Order CommitteeLegislative CommitteeNational Security CommitteePublic Relations CommitteeVeterans Affairs and Rehabilitation CommitteeBaseball CommissionBuckeye Boys StateOratorical CommitteeSpecial Olympics CommitteeScholarship CommitteeDepartment Officer TravelMiscellaneous TravelMILEAGE EXPENSES$0.45 per mile. If no mileage expenses, skip to next section.Date From MM slash DD slash YYYY Date To MM slash DD slash YYYY Total MilesAmountParking Expenses MEAL EXPENSES$20.00/day maximum allowance. If no meal expenses, skip to next section.Day 1 MM slash DD slash YYYY Day 1 TotalPlease enter a number less than or equal to 20.Day 2 MM slash DD slash YYYY Day 2 TotalPlease enter a number less than or equal to 20.Day 3 MM slash DD slash YYYY Day 3 TotalPlease enter a number less than or equal to 20.Day 4 MM slash DD slash YYYY Day 4 TotalPlease enter a number less than or equal to 20.Day 5 MM slash DD slash YYYY Day 5 TotalPlease enter a number less than or equal to 20.Day 6 MM slash DD slash YYYY Day 6 TotalPlease enter a number less than or equal to 20.Day 7 MM slash DD slash YYYY Day 7 TotalPlease enter a number less than or equal to 20.Meal Total HOTEL EXPENSES$50.00/day maximum allowance. If no hotel expenses, skip this section.Date From MM slash DD slash YYYY Date To MM slash DD slash YYYY Total NightsAmount TOTAL TO BE REIMBURSEDTOTALPLEASE CHECK YOUR PREFERRED METHOD OF PAYMENT: ACH deposit printed check Please donate my reimbursement to the following American Legion Program: UPLOAD RECEIPTSNOTE: No lodging or meal expenses (*including tips) will be approved without receipts attached below. Files accepted: jpg, png, pdf (1MB max each)Upload receipts Drop files here or Select files Accepted file types: jpg, png, pdf, Max. file size: 1 MB. Signature(Required)Form must be signed. To sign, use your touchpad (phone/tablet) or mouse.
