CSI Travel Reimbursement Request Form (National Travel)

CSI Travel Reimbursement Request Form (National Travel)
Requirements for reimbursement:
Officials must get pre approval of reimbursement from the Official Chair
Colorado Officials applying for reimbursement must work a minimum of five sessions at a national level meet (Sectionals, Pro Series, Juniors, Futures, Nationals or other USA Swimming sponsored higher level meets. They must have worked a minimum of 40 sessions at a Western Zones or other LSC level meets in the 365 days prior to this meet.

Officials must include documentation of sessions worked before reimbursement will be approved.

Expense receipts must also be attached electronically to this form.

A maximum of $700.00 will be reimbursed per fiscal year. (Oct 1-Sept 30th)
Name *

First Name Last Name
Address (where the check will be mailed) *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Email
example@example.com
National Meet Attended: *
Meet Start date *

Month Day Year
Date
Location of Meet: *
Sessions worked at the meet: *
Attached receipts 1 *

Browse Files

Cancel of
Additional Receipts if needed

Browse Files

Cancel of
2 Additional Receipts

Browse Files

Cancel of
Total amount submitted even if it goes over the max: *
Should be Empty: