Officials Reimbursement for Meet Travel outside of NE

Reimbursement Request Form

Official's Travel for below listed meets
New England Swimming Travel Reimbursement Maximums are:

·        Nationals, Winter Nationals, US Open, Junior Nationals, Winter Junior Nationals & Disability National Meets - $750

·        Arena Pro Series, Futures & Open Water Nationals, ISL $500

·        Sectionals & Zones - $300

Maximum of $1200 per year – 2 meets max

All requests for reimbursement must be made within 30 days of the approved expense.
Name *

First NameLast Name
Address to send check

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
E-mail*
Phone Number*

Area CodePhone Number
Date

MonthDayYear
What meet are you requesting reimbursement for?
What was your Official position at the meet?
EXPENSES:
Airfare:
Hotel:
Parking:
TRAVEL BY AUTOMOBILE: Enter # of miles traveled and upload supporting documents below:
Mileage: (Auto calculates)
Total amount paid in tolls
Total other expenses (explain below)
What were your other expenses?
Total Due:
UPLOAD all supporting receipts for expenditures

Upload a File

Cancelof
Any comments or notes to share with this request?
Use your mouse on a computer, or finger on tablet to sign your name:
Your reimbursement check will be processed once your request and all receipts are received (uploaded). If by some chance you cannot upload your receipts, please email them to newenglandswim@gmail.com
For office use only:
Should be Empty:

Reimbursement Request Form