EOA - RFC

EOA Request for Check (RFC)
INSTRUCTIONS:

In accordance with Educational Opportunity Association (EOA) fiscal policy and procedures, a request for reimbursement of expense(s) incurred for Association business MUST be received by the Treasurer within forty-five (45) days of the completed activity. Expenses must be submitted for reimbursement early enough to allow payment processing by December 30 of each fiscal year.

When submitting for reimbursement, please complete this form, attach all receipts, and submit via this form which will be routed to EOA President (president@eoa.org) and EOA Treasurer (treasurer@eoa.org).

For more information about the reimbursement process and/or allowable expenses, please reference the EOA Fiscal Policy & Procedures Manual. This manual can be accessed by visiting www.eoa.org, logging in with your member credentials, hovering over "For Members", clicking the "Document Library", and opening the "EOA Fiscal Policies/Procedures folder".

The current allowable mileage reimbursement federal rate, as published by the U.S. General Services Administration, can be found here: Mileage Expenses

Maximum meal reimbursement rates (including 20% tip and NO alcohol) by city/state, as published by the U.S. General Services Administration, can be found here: Per-Diem Rates Per Diem rates.
Email*
example@example.com

Requestor Information
Name*

First NameLast Name
RFC Purpose:*
(Example: Board meeting, COE Travel, Committee and or Conference expenses)
Check payable to or Zelle® information
Address

Street Address

Street Address Line 2

CityState

Zip Code
RFC Type*

PersonalChapter
EOA Chapter*
Are you claiming mileage?*
Are you claiming Per Diem?*

Mileage Reimbursement
The amount due will be automatically calculated based on GSA guidelines.
You do not need to enter mileage calculation in the expenses below.
(You must upload documentation of miles traveled (ie.google map) in the upload box below).
Enter the total miles traveled for reimbursement:
GSA guidelines
Total Mileage Reimbursement
You must upload documentation of miles traveled in the upload box below

(ie.google map)
Cancelof

Per Diem
Select Per Diem claimed (add days as necessary)*
Total Per Diem

Expenses 1
Expense 1: Description
Expense 1: Quantity
Expense 1: Cost
Expense 1: Total
Expense 1: Upload Receipt or spread sheet documentation required

Cancelof
Do you have additional expenses/reimbursement to report?*

YesNo

Expenses 2
Expense 2: Description
Expense 2: Quantity
Expense 2: Cost
Expense 2: Total
Expense 2: Upload Receipt or spread sheet documentation required

Cancelof
Do you have additional expenses/reimbursement to report?*

YesNo

Expenses 3
Expense 3: Description
Expense 3: Quantity
Expense 3: Cost
Expense 3: Total
Expense 3: Upload Receipt or spread sheet documentation required

Cancelof
Do you have additional expenses/reimbursement to report?*

YesNo

Expenses 4
Expense 4: Description
Expense 4: Quantity
Expense 4: Cost
Expense 4: Total
Expense 4: Upload Receipt or spread sheet documentation required

Cancelof
Do you have additional expenses/reimbursement to report?*

YesNo

Expenses 5
Expense 5: Description
Expense 5: Quantity
Expense 5: Cost
Expense 5: Total
Expense 5: Upload Receipt or spread sheet documentation required

Cancelof
Do you have additional expenses/reimbursement to report?*

YesNo

Expenses 6
Expense 6: Description
Expense 6: Quantity
Expense 6: Cost
Expense 6: Total
Expense 6: Upload Receipt or spread sheet documentation required

Cancelof
Do you have additional expenses/reimbursement to report?*

YesNo

Expenses 7
Expense 7: Description
Expense 7: Quantity
Expense 7: Cost
Expense 7: Total
Expense 7: Upload Receipt or spread sheet documentation required

Cancelof
Do you have additional expenses/reimbursement to report?*

YesNo

Expenses 8
Expense 8: Description
Expense 8: Quantity
Expense 8: Cost
Expense 8: Total
Expense 8: Upload Receipt or spread sheet documentation required

Cancelof

Comment Section
Comment:
Total Reimbursement
Expense Allocation
Approval Date

MonthDayYear
Date
Should be Empty: