Department Expense Reimbursement 2023-2024 | American Legion Auxiliary Department of florida

This form is to be used only for Department Officer/Chairman to be reimbursed for a Department event. This form MUST BE submitted within 30 days of the end of the event. Any submissions after 30 days will result in the denial of reimbursement.

Name*

First Last

Email*

Department Officer/Chairman Title*

Department Event*

Choose only one.

ABC Class Location (Unit#)

List

Beginning Date of Event*

Ending Date of Event*

Are you requesting reimbursement for hotel stay?*

Yes
No

If yes, upload hotel receipt*

FORMS MUST BE UPLOADED AS A PDF. PICTURES, JPEG, OR ANY OTHER FORMAT CAN NOT BE USED. USING ANY FORM OTHER THAN A PDF WILL CAUSE YOUR SUBMISSION TO BE DELAYED AS IT IS NOT CONSIDERED COMPLETE.

Accepted file types: pdf, Max. file size: 1 GB.

Are you requesting reimbursement for mileage?*

Yes
No

If yes, upload mileage documentation*

FORMS MUST BE UPLOADED AS A PDF. PICTURES, JPEG, OR ANY OTHER FORMAT CAN NOT BE USED. USING ANY FORM OTHER THAN A PDF WILL CAUSE YOUR SUBMISSION TO BE DELAYED AS IT IS NOT CONSIDERED COMPLETE.

Accepted file types: pdf, Max. file size: 1 GB.

Round Trip Miles Traveled*

Where you the driver?*

Yes
No

If no, who was

Did you stay in the designated or overflow hotel (where applicable)?*

Yes
No

List all roommates

Did you or your passenger(s) or roommate(s) receive any type of travel reimbursement from ALA, SAL, Legion or any other source*

Yes
No

If yes, what type

From whom?

How much?

Consent*

I am requesting reimbursement above based on actual expenses incurred as a Department Officer, Chairman, Committee member, appointee, or call-in to the meeting per current approved budget year guidelines. I certify that all information submitted is true and accurate. I understand failure to include proof of mileage from a map source or hotel receipt with my name listed on the reservation or a request that is submitted AFTER 30 DAYS of the event will result in a denial of reimbursement.

I agree that all information provided is correct.

Date*