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  • Stanford University Cycling Team: Reimbursement Request Form

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    rpine35
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    This document is a reimbursement request form for the Stanford University Cycling Team. It requests the rider's name, contact information, event details including dates, mileage, passengers, and itemized expenses with receipts. Lodging expenses like the motel name, dates, occupants and costs require receipts. Race entry fees and other expenses also require receipts. The total reimbursement amount, insurance information, and odometer readings are reported. Notes may be included to provide additional context.

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    Reimbursement Form

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    This document is a reimbursement request form for the Stanford University Cycling Team. It requests the rider's name, contact information, event details including dates, mileage, passengers, and itemized expenses with receipts. Lodging expenses like the motel name, dates, occupants and costs require receipts. Race entry fees and other expenses also require receipts. The total reimbursement amount, insurance information, and odometer readings are reported. Notes may be included to provide additional context.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    1 views1 page

    Stanford University Cycling Team: Reimbursement Request Form

    Uploaded by

    rpine35
    This document is a reimbursement request form for the Stanford University Cycling Team. It requests the rider's name, contact information, event details including dates, mileage, passengers, and itemized expenses with receipts. Lodging expenses like the motel name, dates, occupants and costs require receipts. Race entry fees and other expenses also require receipts. The total reimbursement amount, insurance information, and odometer readings are reported. Notes may be included to provide additional context.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
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    Stanford University Cycling Team Reimbursement Request Form

    Name: Mailing Address: Email: Event Date: "ehi!le ma#e$model: (dometer start: Names o. )assengers Itemi/ed .uel e0)enses *sta)le re!ei)ts to ba!#, Motel name: Names o. Motel o!!u)ants: Motel e0)ense *sta)le re!ei)ts to ba!#,: Ra!e !ats entered2 names o. other ra!ers %ou )aid .or: Ra!e entr% .ee e0)enses *sta)le re!ei)ts to ba!#,: (ther ra!e e0)ense *sta)le re!ei)ts to ba!#,: (ther team e0)ense *sta)le re!ei)ts 3 see notes belo4,: Total amount requested for reimbursement: Re.eren!e # Date submitted to ASSU Amount )aid $ 1 1 1 1 # Nights: # Rooms: Event Name: Plate #: Driver i!ense #: Miles traveled: Phone #: o!ation Insuran!e !arrier: Do %ou !arr% !ollision and liabilit% !overage& 'es No SUID #:

    (dometer end:

    Dire!t round tri) *i+e+ Ma)quest,: MP# o. bi#es !arried 1 *total,

    5, For gas reimbursement2 atta!h re!ei)t (R ma)quest6t%)e ma) 4ith MI EA-E 7IR7 ED 8, For !redit !ard reimbursement2 %ou MUS9 atta!h a 7(MP E9E *all )ages, !redit !ard statement 4ith the relevant e0)enses !ir!led :, For !he!#s2 %ou must in!lude %our 7(MP E9E ban# statement AND a !o)% o. the FR(N9 AND ;A7< o. the !arbon !o)% o. the !he!# 9his is ASSU )oli!%2 not !%!ling team )oli!%2 and there is no 4a% around these requirements= Notes:

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