"*" indicates required fields This form is to be used only for District Presidents to be reimbursed for quarterly visits. This form MUST BE submitted within 10 days of the end of the quarter. Any submissions after 10 days will result in the denial of reimbursement.Name* First Last Email* District #* Quarterly Report Due* September 1st: visits between June and August December 1st: visits between September and November March 1st: visits between December and February June 1st: visits between March and May Visits*List Unit visits in the quarter along with the mileage for each trip. MUST BE District President' Business only.) Starting Point is home or Unit# Ending Point is home or Unit # Unit # MUST BE included on the map printoutDateStarting PointEnding Point# of milesRound Trip (Yes or No) Add RemoveDocuments UploadQuarterly Report*Accepted file types: pdf, Max. file size: 1 GB.Mileage* Drop files here or Select files Accepted file types: pdf, doc, jpeg, Max. file size: 1 GB. Consent* I certify the information entered is accurate. I understand that submitting this request later than the 10th will result in my request being denied.Date MM slash DD slash YYYY
