Date of Request
*
-
Month
-
Day
Year
Date
Unit Name and Charter Number
*
Please Select
NCR-NE-001 Nebraska Wing
NCR-NE-002 General Curtis Lemay Offutt
NCR-NE-004 Columbus
NCR-NE-010 Fremont
NCR-NE-019 Omaha
NCR-NE-056 Pine Ridge
NCR-NE-058 155th
NCR-NE-068 Capital City
NCR-NE-073 Sandhills
NCR-NE-089 99th Pursuit
NCR-NE-093 Lee Bird
NCR-NE-094 Tri-Cities
NCR-NE-800 Burke High School
NCR-NE-999 Nebraska State
Other
Date Check Needed by:
-
Month
-
Day
Year
Date
ISSUE CHECK TO:
Payee
*
First Name
Last Name
Rank or Title
*
Please Select
SM
2d Lt
1st Lt
Capt
Maj
Lt Col
Col
Brig Gen
Maj Gen
SSgt
TSgt
MSgt
SMSgt
CMSgt
C/B
C/Amn
C/A1C
C/SrA
C/SSgt
C/TSgt
C/MSgt
C/SMSgt
C/CMSgt
C/2d Lt
C/1st Lt
C/Capt
C/Maj
C/Lt Col
C/Col
Mr.
Ms.
Mrs.
Other
Address
*
Address
Street Address Line 2
City
State
Postal / Zip Code
Zip Code
*
Only use 5 digits
e-mail Address
*
example@example.com
Telephone
*
Itemized Expense 1 Description
*
Itemized Expense 1 Account Number
*
Please Select
7120000 Awards
7135000 Scholarships
7696000 Vehicle Fuel (COV)
7696000 Vehicle Fuel (POV)
7700100 Supplies (Office, etc)
7701000 Cost of Supplies (resold to members)
7810000 Telephone and Communication
7813000 Internet Fees
7900000 Postage, Shipping, PO Box Rental
8010000 Rent (Use of facilities)
8015000 Utilities
8120000 Vehicle Maint (COV Only-NO FUEL)
8230000 Dues & Publication
8312000 Travel (Only Authorized Travel)
8475030 Drug Demand Reduction (DDR)
8475070 Unit Activities (Other Cadet Activities)
8476010 Senior Activities
8480010 Combined Senior/Cadet Activities
8540000 Unit Expenses (Awards Banquets/Dining)
9241000 Advertising
9306110 Fund Raising Expenses (Including WAA)
9401010 Membership Dues
9520010 Proficiency Flying (Unit pays for Maint fee)
9520050 Expenses with Wing (Conference/Encampment Fees)
Account Numbers IAW CAPR 17301
Itemized Expense Amount 1
*
Itemized Expense 2 Description
Itemized Expense 2 Account Number
Please Select
7120000 Awards
7135000 Scholarships
7696000 Vehicle Fuel (COV)
7696000 Vehicle Fuel (POV)
7700100 Supplies (Office, etc)
7701000 Cost of Supplies (resold to members)
7810000 Telephone and Communication
7813000 Internet Fees
7900000 Postage, Shipping, PO Box Rental
8010000 Rent (Use of facilities)
8015000 Utilities
8120000 Vehicle Maint (COV Only-NO FUEL)
8230000 Dues & Publication
8312000 Travel (Only Authorized Travel)
8475030 Drug Demand Reduction (DDR)
8475070 Unit Activities (Other Cadet Activities)
8476010 Senior Activities
8480010 Combined Senior/Cadet Activities
8540000 Unit Expenses (Awards Banquets/Dining)
9241000 Advertising
9306110 Fund Raising Expenses (Including WAA)
9401010 Membership Dues
9520010 Proficiency Flying (Unit pays for Maint fee)
9520050 Expenses with Wing (Conference/Encampment Fees)
Account Numbers IAW CAPR 17301
Itemized Expense Amount 2
Itemized Expense 3 Description
Itemized Expense 3 Account Number
Please Select
7120000 Awards
7135000 Scholarships
7696000 Vehicle Fuel (COV)
7696000 Vehicle Fuel (POV)
7700100 Supplies (Office, etc)
7701000 Cost of Supplies (resold to members)
7810000 Telephone and Communication
7813000 Internet Fees
7900000 Postage, Shipping, PO Box Rental
8010000 Rent (Use of facilities)
8015000 Utilities
8120000 Vehicle Maint (COV Only-NO FUEL)
8230000 Dues & Publication
8312000 Travel (Only Authorized Travel)
8475030 Drug Demand Reduction (DDR)
8475070 Unit Activities (Other Cadet Activities)
8476010 Senior Activities
8480010 Combined Senior/Cadet Activities
8540000 Unit Expenses (Awards Banquets/Dining)
9241000 Advertising
9306110 Fund Raising Expenses (Including WAA)
9401010 Membership Dues
9520010 Proficiency Flying (Unit pays for Maint fee)
9520050 Expenses with Wing (Conference/Encampment Fees)
Account Numbers IAW CAPR 17301
Itemized Expense Amount 3
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Unit Commander/Finance Committee Member Approval Name
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Unit Commander/Finance Committee Member Approval Date
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Date
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