Kiwanis Expense Reimbursement

Expense Report Submission

Expense Report for Reimbursement
LT. GOVERNOR
Full Name

First NameLast Name
Division #
Email Address
example@example.com
phone #
Please enter a valid phone number.Format: (000) 000-0000.
Submission Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Expense Period: Beginning

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Expense Period: Ending

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
OFFICIAL CLUB VISITS

Submission Deadline Date June 15th
Completed Official Club Visit form is required for mileage reimbursement. The form can be found by visiting https:\\k02.site.kiwanis.org/

Go to Resources>District Officer Resources>Lt. Governor Resources
Miles Driven ($0.52/mile)
Mileage Expense
Other Expense $
Other Expense - Description
Total Club Visits Expense
OFFICIAL BOARD VISITS

Submission Deadline Date August 15th
Completed Official Board Visit form is required for mileage reimbursement. The form can be found by visiting https:\\k02.site.kiwanis.org/

Go to Resources>District Officer Resources>Lt. Governor Resources
Miles Driven ($0.52/mile)
Mileage Expense
Other Expense $
Other Expense - Description
Total Board Visits Expense
Mid-Year Conference

Submission Deadline Date - 90 Days After Event
Select which Mid-Year Attended
Miles Driven ($0.52/mile)
Mileage Expense
Airfare/Other Transportation $
Enter $$ amount
Hotel ($75/night)
Enter $$ amount
Other Expense $
Other Expense - Description
Total Mid-Year Expense
International Convention - Hotel

Submission Deadline Date - 90 Days After Event
Hotel $
Other Expense $
Other Expense - Description
Total International Convention HOTEL Expense
International Convention - Travel

Submission Deadline Date - 90 Days After Event
Miles Driven (0.52/mile)
Mileage Expense
Airfare/Other Transportation $
Other Expense $
Other Expense - Description
Total International Convention TRAVEL Expense
District Convention

Submission Deadline Date Sept 30th
Miles Driven ($0.52/mile)
Mileage Expense
Airfare/Other Transportation $
Enter $$ Amount
Hotel ($75/night)
Enter $$ Amount
Other Expense $
Other Expense - Description
Total District Convention Expense
Office Expense

Submission Deadline Date -Sept 30th
Item 1 Description
Item 1 Amount $
Item 2 Description
Item 2 Amount $
Item 3 Description
Item 3 Amount $
Total Office Expense
TOTAL EXPENSE REIMBURSEMENT REQUEST
Please refer to your Lt. Governor Division Budget

Expense Reimbursement NOT TO EXCEED BUDGET AMOUNTS

Supporting documents must be included for approval and processing
By submitting this form, I certify the expenses are actual.

I have attached receipts and Club or Board Visit reports, if applicable
Mail Reimbursement To
Make Check Payable To

First NameLast Name
Mailing Address

Street Address

Street Address Line 2
CityStateZip Code
Treasurer Email Address
example@example.com
Treasurer Review
Treasurer Approved Amount
Treasurer Comments
Accountant Email Address
example@example.com
Accountant Review
Upload Receipts or Supporting Documents

Cancelof
Should be Empty:

Expense Report Submission

LT. GOVERNOR

OFFICIAL CLUB VISITS

Completed Official Club Visit form is required for mileage reimbursement. The form can be found by visiting https:\\k02.site.kiwanis.org/

OFFICIAL BOARD VISITS

Completed Official Board Visit form is required for mileage reimbursement. The form can be found by visiting https:\\k02.site.kiwanis.org/

Mid-Year Conference

International Convention - Hotel

International Convention - Travel

District Convention

Office Expense

Mail Reimbursement To