D&B Expense Form

Donovan & Bank Foundation

Volunteer Expense Reimbursement Application
EXPENSE SUBMISSION FORM
Name

First NameLast Name
Email
example@example.com
How do you want to be reimbursed?
Address (Check will be sent to this address)

Street Address

Street Address Line 2

CityState

Zip Code
Bank Routing Number
Bank Account Number
Enter the e-mail address OR phone number associated with your PayPal account
example@example.com
Date of Event

MonthDayYear
MM-DD-YYYY
Travel Expenses (Total)
Total of all travel expenses (airfare, rental car, fuel, parking, etc)
Lodging Expenses (Total)
Total of all lodging expenses, if any
Meal Expenses (Total)
Total of all meal expenses
Total Number of Miles - Round Trip - Personal Vehicle
Additional Expenses (total)
Total of any additional expenses such as parking, tolls, train, etc.
Description of Additional Expenses
Take Photo of Expense Receipts (mobile device only, or use the upload feature below)
Upload Receipts for All Claimed Expenses

Upload accepts multiple images
Cancelof
Mileage Payment Amount
2025 IRS Mileage Rate is 70 cents per mile
TOTAL REIMBURSEMENT AMOUNT
Should be Empty:

Donovan & Bank Foundation