IBEW Local 47 | Powering Southern California Life

IBEW LOCAL #47

Expense Reimbursement Form

Name:

Employer:

Address:

City:

State:

Zip:

I hereby request reimbursement of the following "out-of-pocket" expense(s) incured on behalf of IBEW Local #47 while serving on / attending the following:

Name of Committee or Function:

Date:

Location:

MILEAGE

From:

To:

Total:

Add row +

Total miles: X ($0.67/ml) =

WAGES:

Date:

# Hours:

Classification:

Hourly Wage:

Total:

Add row +

Total Wages:

MEALS:

When traveling on union business, meal expenses will be reimbursed in accordance with the IRS federal meals and incidental expense (M&IE) per diem rate which varies by location. Lower rates will apply for the first and last day of travel. Receipts for this type of reimbursement expenses are not required.

Check here for M&IE reimbursement

~ OR ~

When traveling on union business, meal expenses are allowed up to $100 per day ($20-breakfast, $30-lunch, $50-dinner) with receipts for snacks and meals. Meals WILL NOT be reimbused where group meals are provided by the event you are attending.

Date:

City:

Breakfast:

Lunch:

Dinner:

Daily Total:

Add row +

Total for meals:

Meal Receipts

OTHER EXPENSES: Hotel, Taxi, Parking, Baggage, etc.....Please itemize below. RECEIPTS ARE REQUIRED

Description:

Amount:

Receipts:

Add row +

Total other expenses:

TOTAL DUE

Signature:

Total file size: 0 MB / 5MB Total file size can not exceed 5MB

Diamond Bar

Riverside Dispatch