SSPC Expense Form
Person requesting funds:
Name/Title of Requestor
*
Requestor Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Requestor Email
*
example@example.com
Type of Expenses
*
Travel Expenses
Non-Travel Expenses
Date of Expense
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Payee:
Make check payable to:
*
Address (Where Payment Should be Mailed):
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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Travel Expenses
This expense is in support of which committee or program and/or from which line item in the budget?
I would prefer for my travel to be used as a tax deduction on my personal return
Yes
No
Personal Vehicle Use (Travel section) - total number miles traveled
Multiply by $0.14 center per mile
Please Select
$0.14 per mile
I would prefer to be reimbursed by the Presbytery
Yes
No
Details of Request for travel expense reimbursement
Expense: Amount:
Personal Vehicle Use (Expense section) - total number miles traveled
Multiply by $0.30 per mile ($0.76 if you are a staff member)
Please Select
$0.30 per mile
$0.76 if you are a staff member
Meals (receipt required):
Lodging (receipt required):
Airfare (receipt required):
Rental Vehicle (receipt required):
Other expenses (receipt required)
Subtotal
Deduct any funds advanced for travel:
Total expenses claimed for reimbursement
Upload any receipts needed. (Travel)
Upload a File
Drag and drop files here
Choose a file
Cancel
of
Non Travel Expenses
Item
Charge to budget line item
Notes
Amount
Total Estimated Costs
Brief explanation of how and where this service or equipment will be used
Upload any receipts needed (Non Travel)
Upload a File
Drag and drop files here
Choose a file
Cancel
of
Submit
Should be Empty: