Expense Reimbursement Form

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Expense Reimbursement Form

Rotarian Name: Expense Period


From:
To:

Business Purpose:

Itemized Expenses [42]

DATE DESCRIPTION CATEGORY COST

SUBTOTAL $ -
Less Cash Advance
TOTAL REIMBURSEMENT $ -
Don't forget to attach receipts!

Rotarians Signature Date

Treasurers Signature after check has been written Date

Reimbursement Form Template by Vertex42.com


**** Categories ****
Business Cards
Business Meals
Dues
Legal Fees
License Fees
Mileage
Office Supplies
Passport fee
Postage
Printer Cartridges
Printer Paper
Software
Stationery
Subscriptions
Telephones
Tools
Training Fees
Travel
Work Clothing
Other
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