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AVAHO 2022 Travel Expense

Meeting location

Chicago

San Diego

Which travel are you requesting for reimbursement?

Board

Invited Speaker (not Poster Presenter)

Attendee

Staff

Committee Member

Name *

E-Mail (where you want us to send your e-check) *

Please complete the form below and provide copies of your receipts.

Airfare reimbursement
Hotel reimbursements
Mileage reimbursements. Mileage rate is .625 cents per mile.

Please complete the form below and provide copies of your receipts.

Airfare reimbursement has a maximum of $500.
Hotel reimbursements can't exceed $161 plus tax per night.
Mileage reimbursements up to $300 plus up to $150 in parking fees. Mileage rate is .625 cents per mile. (Mileage can't exceed the cost of airfare.)

Airfare Reimbursement Amount

Hotel Reimbursement Amount

Honoraria Amount

Are you requesting per diem in lieu of submitting itemized receipts for ground transportation, meals, baggage, etc.? Note: if your travel expenses is greater than the per diem, then choose No and submit the actual expenses.

Yes

Meals and Incidentals Reimbursement Amount

How many days are you requesting Meals and Incidentals? *

1 Day ($79)

2 Days ($158)

3 Days ($237)

How many days are you requesting Meals and Incidentals? *

1 Day ($74)

2 Days ($148)

3 Days ($222)

How many days are you requesting Meals and Incidentals? *

1 Day ($59)

2 Days ($118)

3 Days ($177)

DRIVING: Are you requesting reimbursement for mileage?

Yes

Starting Address (Please write down the address where you started your travel.)

Total Mileage Amount (multiply mileage by .625 cents per mile)

Parking Fees (Allowed up to $150 if requesting mileage)

Total Amount Requested:

$0.00

Upload Receipts Here

COMMENTS: Please share any info about your request if there are unusual circurmstances that may impact our decision to reimburse requested amount.

Note: The e-mail provided will be used to send your e-check. Please make sure it is the correct email.

If you have any questions or concerns, please contact us below:

--Sue Lentz

AVAHO Admin

Phone: 206-794-9124

Email: admin@avaho.org