OKS Officials Travel Reimbursement Request

OKS Officials Travel Reimbursement
Submit Date:*

MonthDayYear
Official Name:*

First NameLast Name
Address:*

Street Address

Street Address Line 2

CityState

Zip Code
Email:*
Your E-mail Address
Phone Number:*
Club:*
USA Swimming ID:*
Meet:*
Populate Meet Info:
Meet Year:
Meet Start:
Meet End:
Number of Days:
Tier:
GL Coding:
Maximum Allowable Reimbursement:
Daily:
Travel:
Meet Start Date:

MonthDayYear
Date
Meet End Date:

MonthDayYear
Date
Due Date for Reimbursement:

MonthDayYear
Explanation for Late Submission:
OKS Policy requires submission of this form within 30 days of the completion of the meet. This policy is strictly enforced. If you would like to continue, please provide an explanation here. In most cases, your request will be denied.
I Worked all Days and Sessions:*
Number of Days Worked:
Position and Evaluator:*
Airfare:
Airfare Receipts:

Cancelof
Car Rental or Ground Transportation:
Car Rental/Ground Transport Receipts:

Cancelof
Hotel:
Hotel Receipts:

Cancelof
Meals:
Meal Receipts:

Cancelof
Gas:
You can request reimbursement for mileage or fuel.
Gas Receipts:

Cancelof
Miles:
You can request reimbursement for mileage or fuel.
Mileage Reimbursement:
Mileage Rate
Other Non-Reimbursable Expenses:
Allowable Travel Expenses:
Allowable Per Diem:
Total Requested:
Preliminary Reimbursement Pending Approval:
Meet Summary:*
Certification*

I certify that these expenses were incurred by me in accordance with the relevant policies of Oklahoma Swimming.
Signature*

Clear
To be completed by the OKS Finance Vice Chair
FVC Approved Amount:
Amount pre-approved by the Finance Vice Chair
SVC Approved Amount:
Amount approved by the Senior Vice Chair
YTD Reimbursed Amount:
Official has been reimbursed this amount for the current year
Final Approved Amount:
Final Approved amount for reimbursement
Should be Empty: