Expense Form Person requesting funds:Name(Required) First Last Phone(Required)Email(Required) Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Type of Expenses Travel Expenses Non-Travel Expenses Travel Expenses*This expense is in support of which committee or program and/or from which line item in the budget?: I would prefer for my travel to be used as a tax deduction on my personal return: Yes No Volunteers. If you perform services as a volunteer worker for a qualified charity, you may be able to deduct some of your costs as a charitable contribution. Complete this form and retain for your recordsIf you drive for a non-profit organization, including qualified churches and religious organizations, you can claim mileage you drive for volunteering as a donation to that organization, including the mileage you drive to and from the organization in order to volunteer. You can take a standard deduction of 14 cents per mile on your tax return. Or, if it's more advantageous and you kept track, you can deduct the actual cost of your gas for your philanthropic driving. With either choice, you also can include any parking fees or tolls paid. You must keep track of your mileage, the purpose of the trip, AND the name of the organization which you were representing on every trip recorded.Personal Vehicle Use:total number miles traveledMultiple by $0.14 center per mile I would prefer to be reimbursed by the Presbytery: Yes No Details of Request for travel expense reimbursement:Expense: Amount:Personal Vehicle Use:total number miles traveledMultiply by $0.30 per mile ($0.67 if you are a staff member)Meals (receipt required):Lodging (receipt required):Airfare (receipt required):Rental Vehicle (receipt required):Other expenses (receipt required)SubtotalDeduct any funds advanced for travel:Total expenses claimed for reimbursementUpload any receipts needed. Drop files here or Select files Max. file size: 64 MB. Signature of Requestor(Required)Date(Required) MM slash DD slash YYYY Non Travel ExpensesRequest for office supplies and expendable materials, services or equipment:ItemCharge to budget line item*Notes:Amount: Add RemoveTotal Estimated CostsPlease do not purchase items or services before authorization has been obtained.Please give a brief explanation of how and where this service or equipment will be used on the back of this sheet if there is not enough room aboveUpload any receipts needed. Drop files here or Select files Max. file size: 64 MB. Name/Title of Requestor(Required) Date(Required) MM slash DD slash YYYY