ITAC-NTI Expense Report Form
Please submit this form by August 14th, 2026
Date:
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
JATC Tax ID#:
*
Please Select
04-3786916 -Riverside
46-2897706 -Waterloo
38-2509264 -Flint
58-2431633 -Charlotte
23-7165107 -Reno
JATC:
*
Please Select
Riverside, CA
Waterloo, IA
Flint, MI
Charlotte, NC
Reno, NV
Program #:
*
Please Select
CA0220
IA0990
MI1270
NC2010
NV1620
Training Director:
*
Please Select
Jon Rowe
Christina Henzen
Rick Mason
Denise Schnell
Alan Darney
NTI Participant Name(s):
*
Reimbursement request for the following (please select all that apply):
*
Lodging
Airfare
Mileage
Meals
Other
If you selected "other" please explain:
Total Reimbursement Request Amount:
*
Please upload images of all receipts for reimbursement. Receipts must be included with your reimbursement request:
*
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