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Mileage Expenses?
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Yes
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Applicable to personal vehicle use only. Only the owner of the vehicle driven is eligible to submit miles to be reimbursed. Miles should reflect the most direct route. Reimbursement = $.60/mile
Miles Driven
Rental Car Expenses?
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Yes
No
Total Rental Car Expense
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Pre-Authorization is required. Must include a rental car receipt. These amounts are all inclusive and will not include mileage reimbursement.
Rental Car Receipt
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Max. file size: 256 MB.
Please refer to the Employee Handbook for amounts to be reimbursed and reimbursement policies. If you have trouble attaching your receipt please email a copy to office@psia-w.org
Airfare Expenses?
*
Yes
No
Total Airfare Expense
*
Pre-Authorization is required. Must provide airfare receipt.
Receipt for Airfare
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Max. file size: 256 MB.
Please refer to the Employee Handbook for amounts to be reimbursed and reimbursement policies. If you have trouble attaching your receipt please email a copy to office@psia-w.org
Lodging Expenses?
*
Yes
No
Total Lodging Expense
*
Must provide a receipt for lodging to be reimbursed. Reimbursement of $60 per night for double room occupancy; $100 per night for single room occupancy. These amounts are all inclusive. If lodging is provided, reimbursement for lodging will not be approved.
Receipt for Lodging
*
Max. file size: 256 MB.
Please refer to the Employee Handbook for amounts to be reimbursed and reimbursement policies. If you have trouble attaching your receipt please email a copy to office@psia-w.org
Any other expenses?
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No
All other expenses will go through an approval process before being reimbursed. Please provide receipt documentation for any additional expense.
Explanation and amount of additional expenses
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Receipts for Additional Expenses
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Max. file size: 256 MB.
If you have trouble attaching your receipt please email a copy to office@psia-w.org
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