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Travel Reimbursement Option #1
ACLU/F of FLORIDA BOARD MEMBER TRAVEL REIMBURSEMENT
Option #1
TRAVEL REIMBURSEMENT
Board Member Name:
Board Member Address:
Board Member City, State and Zip Code:
Board Member Email:
Date Submitted:
Travel Expenses Details
Date:
Board/Committee meeting:
Location of board/committee meeting:
Mileage to/from meeting site and home city:
Tolls:
Parking:
Other:
Click to Calculate
Date
Meeting
Location
Mileage
Toll
Parking
Other
Total Summary
Total mileage to/from meeting sites and home city:
Total adjusted miles (less 200 miles per trip):
Total miles x $0.67 per mile:
Total Tolls:
Total Parking:
Total Other:
GRAND TOTAL:
Please attach:
1. Mileage reports from Google, Mapquest, etc.
2. All original receipts.
Drop files here or click to upload
Delete
Click to Submit
Reimbursement form received.
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