LT. GOVERNOR Expense Report Submission

Expense Report Submission

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

Deadline Date to Submit Expenses - JUNE 15th. A Completed Official Club Visits form is required for expense reimbursement. The form can be found by visiting https:\\k02.site.kiwanis.org\ (Go to Resources > District Officer Resources > Lt. Governor Resources) Please attach this form when submitting your Official Club Visits expenses.
OFFICIAL CLUB VISITS
Miles Driven ($0.52/mile)
not to exceed budgeted amount
Mileage Expense
Other Expense $
Other Expense - Description
TOTAL OFFICIAL CLUB VISITS EXPENSE
OFFICIAL BOARD VISITS

Deadline Date to Submit Expenses - AUGUST 31st. A Completed Official Board Visits form is required for expense reimbursement. The form can be found by visiting https:\\k02.site.kiwanis.org\ (Go to Resources > District Officer Resources > Lt. Governor Resources) Please attach this form when submitting your Official Board Visits expenses.
OFFICIAL BOARD VISITS
Miles Driven ($0.52/mile)
Mileage Expense
Over Expense $
Other Expense - Description
TOTAL OFFICIAL BOARD VISITS EXPENSE
Mid-Year Conference

Submit for reimbursement no later than 90 days after event
MID-YEAR CONFERENCE
Select which Mid-Year Attended
Miles Driven ($0.52/mile)
Mileage Expense
Airfare/Other Transportation $
Hotel $
$75/night
Other Expense $
Other Expense - Description
TOTAL MID-YEAR EXPENSE
International Convention - Hotel

Submit for reimbursement no later than 90 days after event
INTERNATIONAL CONVENTION - HOTEL
Hotel $
$75/Night
Other Expense $
Other Expense - Description
TOTAL INTERNATIONAL CONVENTION HOTEL EXPENSE (Lt. Gov Budget)
International Convention - Travel

Submit for reimbursement no later than 90 days after event
INTERNATIONAL CONVENTION - TRAVEL
Miles Driven (0.52/mile)
Mileage Expense
Airfare/Other Transportation $
Other Expense $
Other Expense - Description
TOTAL INTERNATIONAL CONVENTION TRAVEL EXPENSE (ICON Budget)
not to exceed board approved budget
District Convention

Submission Deadline Date: Sept 30th
DISTRICT CONVENTION
Miles Driven ($0.52/mile)
Mileage Expense
Airfare/Other Transportation $
Hotel $
$75/Night
Other Expense $
Other Expense - Description
TOTAL DISTRICT CONVENTION EXPENSE
OFFICE EXPENSE

Submission Deadline Date - Sept 30th
OFFICE EXPENSE
Item 1 - Description
Item 1 - Amount $
Item 2 - Description
Item 2 - Amount $
Item 3 - Description
Item 3 - Amount $
TOTAL OFFICE EXPENSES
TOTAL EXPENSE REIMBURSEMENT REQUEST
Please refer to your Lt. Governor 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 supporting receipts, 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
Finance Email Address
example@example.com
Upload Receipts or Supporting Documents

Cancelof
Should be Empty:

Expense Report Submission

Lt. Governor

OFFICIAL CLUB VISITS

OFFICIAL BOARD VISITS

Mid-Year Conference

International Convention - Hotel

International Convention - Travel

District Convention

OFFICE EXPENSE

Mail Reimbursement To