TriBeta Expense Reimbursement Form
Please submit your travel related expenses to the National Office for reimbursement. Please try to submit your travel expenses within 90 days of travel if possible. At the end of this form, you will be able to save the form as a PDF for your records and a PDF of your submission will also be emailed to you automatically upon submission. The form will also auto-submit to the National Office. You do not need to send a follow-up email to the National Office. Reimbursements are typically processed within the same business week as being received. You will be contacted via email if there are any questions concerning your request form. Contact the national office with any questions (tribeta@una.edu).
Please provide your first and last name.
First Name
Last Name
District or Region
Reason for Travel
Phone Number
E-mail
Your E-mail Address
Reimbursement Payment Method
Reimbursements from the National Office can be sent via PayPal, Zelle, or check. Please indicate which reimbursement method you prefer and provide the account information accordingly if you wish to be paid via PayPal or Zelle.
How do you prefer to receive your expense reimbursement payment?
Mail a check to address provided
Zelle
PayPal
Please provide the address to mail your check, your phone number/email address associated with your PayPal account, or your phone number associated with your Zelle account.
Expense Detail
Mileage Reimbursement Information
Travel Date
Customer/Purpose Description
Total Miles Driven
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2
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Total Miles Driven
This will auto-calculate based on the miles you provided in the table above.
Expenses List
Purchase Date
Product/Service Description
Cost
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2
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Total from Expense list
This will auto-calculate based on the expenses you provided in the table above.
Total Amount Due from Mileage
This will auto-calculate based on the defined IRS mileage reimbursement business rate for 2025 at $0.70/mile.
Total from Expense List and Milage
This total will auto-calculate for you.
I certify
I certify that all information entered above is valid and true.
Upload any Receipts Here
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If you have multiple receipts, please try to compile into one PDF that you can upload if possible.
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Upload any receipts here
Browse Files
Drag and drop files here
Choose a file
If you have multiple receipts, please try to compile into one PDF that you can upload if possible.
Cancel
of
Please provide any explanations, comments, or information about the expenses being submitted.
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