Expense Reimbursement FINANCE: Expense Reimbursement I’m filling this out for: * Myself Someone Else Submitter Information If you are filling out this form on behalf of another individual please include your information below. First Name * Last Name * Email * Phone * Reimbursee Information Please complete the information for the person receiving the reimbursement. First Name * Last Name * Address * Address This is where the check will be mailed This is where the check will be mailed Address City City State/Province Alabama Alaska Arkansas Arizona California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming State/Province Zip/Postal Zip/Postal I prefer to be paid via Check Paypal PayPal ID or E-mail * E-mail * Phone * Activity * Annual Meeting Expenses (March) NATA Travel/Lodging (June) Committee Expense Reimbursement Board Expense Reimbursement Other Activity Location * Role * Indicate what role or committee you represented at the event Line Items Please list your expenses by day/date and category. Some receipts may split into more than one category. For travel (airfare, etc.) and lodging, note those expenses on the first and/or last day of the travel dates. CLICK HERE to view the expense categorization. Date * Description * Transportation (Air, Rail, Etc.) Local Taxi, Uber, Bus, Etc. Parking Auto Expenses (not including mileage) Lodging Meals Tips Telephone/Internet Amount * Add Remove Misc Line Items Date Amount Explanation Add Remove Mileage Cost Current Rate: $0.565 x miles Mileage capped at $350 File Upload * Drop a file here or click to upload Choose File Maximum upload size: 10MB Please include and upload CLEAR images of your receipts. TOTAL Comments By checking this box, I attest that the above listed expenses were for MAATA related business and I am not recieving reimbursement for the above listed expenses from any other entity. * Agree If you are human, leave this field blank. Submit