Expense Reimbursement Form The purpose of this form is to reimburse for expenses incurred on behalf of the WA-ACP.InstructionsVouchers must be submitted within 30 days after travel. Receipts are required for all charges (except mileage). Personal expenses are to be deducted from voucher before submitting expenses for reimbursement. See authorized reimbursement schedule below.Reimbursement checks should be cashed immediately.Event Information Submitted by:FirstLast Submission Date: Expense for attendance at: Event Date: Event Location:Reimbursable ExpensesREIMBURSEMENT SCHEDULEThe Executive Council authorized the following reimbursement schedule for Council/Committee members and other persons’ authorized expenses:TRANSPORTATIONAir Transportation: Reimbursed at lowest rate available, tourist/coach class. Auto Mileage: 53.5 cents per mile.Parking: Actual cost.Auto Rental: Must have prior approval of WC-ACP Governor or Executive. Airport Bus: Actual cost.Cab/Shuttle: Between airport and meeting/hotel at cost. Any other cab fare must be for business only and documented. Transportation (airfare, bus or train): $ Mileage @ 53.5 cents/mi: $ Parking: $ Airport Shuttle/Cab: $ Transportation Receipts:HOTEL Actual cost for medium/single room. Spouse/Guest costs born by the individual and not covered for reimbursement. Hotel: $ Hotel Receipt:MEALSReimbursed at actual expense for attendee only not covered in meeting registrations and within the following amounts: Breakfast: $ 15.00 maximum Lunch: $ 20.00 maximumDinner: $ 40.00 maximum Meals: $ Meal Receipts:OTHER Receipts for all expenses must be attached. Other: $ Other ReceiptsEXPENSES TOTAL Total:Reimbursement Information Make Check Payable to:*FirstLast Mail Check To: Street Address Street Address Line 2 City State / Province / Region Postal / Zip Code AfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCentral African RepublicChadChileChinaColombiaComorosCongo (Brazzaville)CongoCosta RicaCote d'IvoireCroatiaCubaCuracaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast Timor (Timor Timur)EcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceGabonGambia, TheGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea, NorthKorea, SouthKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint VincentSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbia and MontenegroSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamWalesYemenZambiaZimbabwe Country Phone: Area Code - Phone Number E-mail:*SubmitResetIf you have any questions, please call Liz Truong, WC-ACP Executive Director at (206) 338-7377 or email admin@washingtonacp.org.
