Department Expense Voucher - Department of Arizona

This Travel Claim is for Travel to:

Department Convention
Department Fall Conference
Official Business of Department/District
Travel Related to Being Called/Authorized by the Department Commander/Adjutant
National Meetings

NOTE:

At an official meeting on June 20, 2002 the Department Finance Committee adopted a “Change of Policy for Travel Expenses” which reimburses official attendants at authorized meetings, conventions and conferences the “cost at authorized mileage rate round trip from point of departure to destination and a flat rate Per Diem @ $100.00 per day, provided that they are in meetings and stay overnight.”

Reimbursement to those members residing within twenty-five (25) miles of a meeting, convention or conference is not authorized. Hotel and meal receipts are not required and reimbursement will not exceed the flat rate per diem.

REIMBURSEMENTS WILL BE MADE ON THE FOLLOWING:

DISTRICT COMMANDERS: For official District business within the District ONLY

AREA VICE COMMANDERS: When on official business of the Department.

COMMITTEE CHAIRMAN: When authorized by Commander or when called to a Department Convention or Conference.

RATES

Mileage = $0.53 per mile
Per Diem = $20.00 per day (AZ)

MEALS

Meals may be paid, when deemed appropriate when a Committee meeting is officially called. (Receipts must be attached)

Meals shall not be paid when Committee meetings are held at a Department Convention or Conference.

MISCELLANEOUS

Receipts must be attached.

ALL OTHER REIMBURSEMENT REQUESTS MUST HAVE THE PRIOR APPROVAL OF THE DEPARTMENT ADJUTANT

NATIONAL MEETINGS: When on official business of the Department and authorized by Commander or Adjutant.

RATES

Mileage = $0.53 per mile
Per Diem = $40.00 per day (IN)
Per Diem = $50.00 per day (CNV)
Per Diem = $75.00 per day (DC)

MEALS

Receipts must be attached.

MISCELLANEOUS

Receipts must be attached.

ALL OTHER REIMBURSEMENT REQUESTS MUST HAVE THE PRIOR APPROVAL OF THE DEPARTMENT ADJUTANT

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Name: *

First

Middle

Last

Phone: *

Email: *

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Committee:

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Authorized travel from (home address): *

Address Line 1

Address Line 2

City

State

Zip Code

Authorized date from: *

Destination address & return: *

Address Line 1

Address Line 2

City

State

Zip Code

Authorized date to: *

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Method of Travel *

Auto
Airline
Other (No Reimbursement Required)

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Beginning Odometer: *

Ending Odometer: *

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Total Miles Driven (Ending minus (-) Beginning Odometer): *

This field is auto calculated based on the odometer readings entered above

Total miles multiplied by (x) 0.53 cents:

Price: $0.00

This field is auto calculated based on the odometer readings math and total mileage entered above

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Number of days stayed overnight:

Three day limit applies!

Number of days multiplied by (x) $100 per day equals:

Price: $0.00

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Total Amount Claimed on This Report

$0.00

IMPORTANT:

The Internal Revenue Service advises it is necessary for you to give the details regarding your statement of expenses if per diem is in excess of expenses.

My per diem exceeds my actual expenses. *

The amount of per diem paid in excess of actual expenses is subject to Federal Income Tax on the part of the recipient of the per diem. The space below is provided for the itemizing of the actual expenses. If your per diem exceeds your actual expenses please use this block to itemize your expenses.

THIS IS FOR YOUR PROTECTION

The amount of per diem paid in excess of ACTUAL EXPENSE is subject to Federal Income Tax on the part of the recipient of the per diem. Space is provided below for the itemizing of the actual expenses.

Please list the dates and charges by category with total per day:

Example: Line one, "1 Jan 2022, Hotel, Total", Line 2 "1 Jan 2022, Meal, Total" and so on.

Expense categories are; Hotel, Meals, Taxis, Tips, Laundry, Miscallaneous

Receipt Upload (If Needed)

Click or drag files to this area to upload. You can upload up to 5 files.

If you need to provide receipts, we ask that they all be in one single .PDF file, but in case they can not be you are able to upload a total of five .PDF files in this form.

Last four digits of your membership number: *

Signature

Clear Signature

NOTE:

IMPORTANT:

THIS IS FOR YOUR PROTECTION

Expense categories are; Hotel, Meals, Taxis, Tips, Laundry, Miscallaneous

Upon clicking submit, the email address provided in this form will receive a copy of the voucher along with notification to the Department Adjutant.