Travel Reimbursement/Contribution Form

Members

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Travel reimbursement form

This form is for LWVWI Ed Fund Board members and Legislative Committee members to use to report their travel expenses for League business. Reimbursement of travel expenses for State Board and Legislative Committee meetings is available, as long as the League can afford it.

Any unreimbursed expenses are a tax-deductible financial contribution to the LWVWI Education Fund. These contributions are extremely helpful to the League's ability to carry out its mission of voter education and advocacy. We will keep track of your unreimbursed expenses and send you a summary in January of your contributions for the previous year. The summary will be your receipt for your tax records. Thank you!

Name*

Street

City State ZIP

Purpose of travel, e.g. committee/board meeting, statewide event*

Date of travel (month/day/year)*

Mileage - enter number of miles (round trip). Reimbursement will be calculated at $0.50 per mile.

Lodging - name of hotel & cost. Mail receipt to state office.

Do you wish to make part or all of your expenses a tax-deductible contribution to the League?

Amount reimbursement requested (the remainder is a contribution for which you will receive a tax receipt)

Email address (for confirmation)

Enter the code shown above

Submit

* Required

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