WSSRA

COORDINATING COUNCILS:

Round trip mileage from each local Unit to attend up to three meetings of the Coordinating councils per year. Checks will be sent to the local Unit for distribution among whomever and however many drivers were locally authorized to provide the transportation.

Vouchers must be approved by CC Chair, Unit President or by the District Representative.

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:

As a co-sharing of travel costs, reimbursement for round trip mileage is authorized for reimbursement at two or more to a car.

Coordinating Council (Area_____)*

Name*

First NameLast Name

Address*

Street Address

Street Address Line 2

CityState

Zip Code

Check here if this is a change of address

YesNo

Unit Name and Number

Email*

Confirmation Emailexample@example.com

Phone Number

Area CodePhone Number

Meeting attended

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:

	Round trip Miles	Notes:
CAR #1
CAR #2
CAR #3
CAR #4
CAR #5

TOTAL round trip miles

Round trip miles x current rate

Misc. Reimbursement:

	Ferry	Parking	Misc.	Notes:
CAR #1
CAR #2
CAR #3
CAR #4
CAR #5

Total Reimbursement

Travel Approved by:*

I, the CC Chair, Unit President of our local unit or District Representative certify that this statement represents expenses 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:*

COORDINATING COUNCIL VOUCHER