Expense Reimbursement Form – Wis. Interscholastic Speech & Dramatic Arts Assoc.

Use this form to report expenses related to WISDAA business; this should NOT be used to claim an honorarium for your time spent working a WISDAA contest/event.

Payable Name(Required)

Date(Required)

Date of contest/event

Category(Required)

Expense Type(s)(Required)

Mileage

Parking

Other

Select all that apply.

Parking

Parking amount(Required)

Please enter a number greater than or equal to 0.01.

Total amount for all parking

Parking receipt(s)

Drop files here or

Accepted file types: jpg, gif, png, pdf, doc, docx, Max. file size: 128 MB.

Include images or scanned PDFs of receipts. Alternatively, you can forward an email receipt of parking to office@wisdaa.org. If you do not have receipts, please describe where you parked in the notes area at the bottom of this form.

Mileage

Starting Address(Required)

Street Address City State ZIP Code

Honorarium payments will be sent to the address registered with the state office by the contractor; this is simply to indicate mileage reimbursement starting/return point. Any back-and-forth mileage to/from the hotel should be included.

Roundtrip Mileage(Required)

Please enter a number greater than or equal to 1.

Please be sure this is roundtrip mileage, as calculated by starting destination and WISDAA event, and multiplied by two. Stops outside the most direct route (except for construction/detours) should not be counted.

Rate

Mileage reimbursement rate

Mileage Amount

Other expense

Other expense description(Required)

Expense(s) to be reimbursed.

Other expense amount(Required)

Please enter a number greater than or equal to 0.01.

Receipt(s)

Drop files here or

Accepted file types: jpg, gif, png, pdf, doc, docx, Max. file size: 128 MB.

Summary

Expenditure Total

Notes