WSSRA

Round trip mileage from each local Unit (see chart below) to attend up to three meetings of the Coordinating councils per year. Vouchers must be submitted through the District Representative who will sign and submit them for payment . Checks will be sent to the local Unit for distribution among whomever and however many drivers were locally authorized to provide the transportation,.

Chairs please use white voucher to submit claims for postage, office supplies, meeting room rent (where complimentary meeting room is not available), long distance telephone (for the Chair), meals for Coordinating Council Officers (not covered by other budgets).

NOTE: Local Units often cover meal expenses of their respective participants. Some meetings do not incur meal expenses.

REIMBURSEMENT FOR CARS/PARTICIPANTS:

All attendees must be listed

Local Unit Participants	Cars Allowed
1-4	1 CAR
5-8	2 CARS
9-12	3 CARS
13-16	4 CARS
17-20	5 CARS

Coordinating Council (Area_____) *

Name *

First Name Last Name

Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code

Check here if this is a change of address

Yes No

Unit Name and Number

Email *

Confirmation Email example@example.com

Phone Number

Area Code Phone Number

Meeting Date:

Date

DRIVER AND ALL PASSENGERS MUST BE LISTED FOR EACH CAR. *

	DRIVER	PASSENGER 1	PASSENGER 2	PASSENGER 3	PASSENGER 4	PASSENGER 5
CAR #1
CAR #2
CAR #3
CAR #4
CAR #5

Mileage Reimbursement: *

	Travel Detail:	Ferry	Parking	Round trip Miles	Misc.	Notes:
CAR #1
CAR #2
CAR #3
CAR #4
CAR #5

Total Round trip Miles

Total Round trip Miles X .585

TOTAL REIMBURSMENT REQUESTED:

*

I, the President/Treasurer of our local unit certify that this statement representsexpenses incurred by unit members engaged in the Association's business. I am also aware that the check will be sent to the Unit Treasurer.

Submitted By President or Treasurer of Unit: *

Clear

COORDINATING COUNCIL VOUCHER