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Membership

Online Travel Reimbursement Form

Complete the below form, review and then click the “Submit” at the bottom.

Relevant documentation is required for individual expense items over $25. Our upload tool is currently disabled, therefore please scan your receipts and email them to Nellie Gomez at ngomez@nysscpa.org. Note the committee name and meeting date in the email.


You may also download this form in PDF using the “Downloadable Form” link on the right and complete and submit per the instructions on that form. For help, refer to the Travel Reimbursement Policy link on the right.


Meeting Location

 

Reimbursable Expenses

Transportation

(Basic Economy/Coach rate)
(Coach Rate)
mi. x IRS mileage rate ($0.58 to 12/31/19)
(explain)

Lodging Costs

(not to exceed $300 excluding tax, attach bill)

Meals & Incidentals 

(Explain)
(not to exceed $64, attach receipts for items over $25)

Limits: Individual reimbursement requests are limited to $800 in total per request and members are limited to a cumulative amount of approved reimbursement requests of $4,000 per Society fiscal year (6/1-5/31).

See part h. of the Travel Reimbursement Policy for details and exceptions.

OFFICE USE ONLY:
DEPARTMENT EXP: __________________________________________________________

APPROVAL: _________________________________________________________________
APPROVAL
NOTE:

 ►Please include scanned receipts or other substantiation for transportation and out-of pocket expenses over $25. Currently the upload tool is disabled, so please email receipts to Nellie Gomez at ngomez@nysscpa.org and include committee name and date of meeting in the email.

►Reimbursement requests must be received within six months of the meeting date or reimbursement will be denied.

Have my reimbursement check made payable and mailed to:

(please print or type)
 
 

By submitting this form you affirm that the information provided is true and correct.