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 AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming 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