Travel & Expense Reimbursement Form

Expense Report Details
Expense reports greater than 60 days can be submitted to the Finance Director at harpers@wvbar.org

Requests for reimbursement must be received within 60 days of the date of the expenditure.

Questions? Contact Finance Director, Sarah Harper-Jones 304-553-7226 or harpers@wvbar.org

Transportation
$
{mileage_final} * {rate}
$
Parking/Ground Transportation (Attach Receipts)
({mileage_final} * {rate}) + {other_final}
Lodging
$
(Attach Receipts Below)
$
{hotel_expenses} + {tips_gratuities_etc}
Meals
$
{meals}
Other
$
(Receipts must accompany expenses over the amount of $25)
Total Reimbursement
({mileage_final} * {rate}) + {other_final} + ({hotel_expenses} + {tips_gratuities_etc}) + {meals} + {other_expenses}
Attachments
Attach up to 3 files containing receipts and documentation regarding your expense.
Attach up to 3 files containing receipts and documentation regarding your expense.
Information