Expense Reimbursement Form

Dream Life Out Loud, PLLC

Employee Expense Reimbursement Form
Expenses must be submitted by the last day of the month and are paid out monthly on the 5th of each month for the prior. One submission per form.
Employee Name:
Expense Date:

MonthDayYear
Date
Cost
Payment Type

Credit CardCash
Description of expense (e.g., meals, travel, office supplies, etc.):
Purpose of the expense (e.g., client meeting, conference, etc.):
Vendor/Client Name (if applicable):
Supporting Documentation: Please attach screen grabs, PDF, photo, etc. of your receipts with itemized details.

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Any additional notes:
Should be Empty:

Dream Life Out Loud, PLLC