OOTA EXPENSE REIMBURSEMENT FORM

This form is available to board members and association leaders for submission for reimbursement. It is important to note, ALL EXPENSES should have been pre-approved by the President/Treasurer prior to submission.

This field is for validation purposes and should be left unchanged.
Name(Required)
Address(Required)

Section Break

Categories include: Lodging, Meals & Entertainment, Airfare/Transportation, Supplies, and Other (indicate)(Required)
Please indicate expense category, description of your expense and the amount expended.
–All receipts must be itemized and show proof of payment
–Receipts should clearly indicate date, vendor, items purchased, and mount paid
–For meals, include date, location and business purpose
–For mileage reimbursement, provide starting/ending locations and total miles
Category
Description
Amount Expended ($)
 
No more than five individual receipts may be uploaded at a time. Please use additional forms if you have additional receipts. An alternative would be to combine all receipts into one document (pdf preferred)
Drop files here or
Accepted file types: jpg, gif, png, pdf, Max. file size: 80 MB, Max. files: 5.
    Please provide the total requested which should not exceed the amount outlined above and that for which receipts are submitted.
    I certify that the above expenses were incurred for official OOTA business and that I have not been and will not be reimbursed for these expenses from any other source. I understand that falsification of this form may result in disciplinary action.
    MM slash DD slash YYYY