Accrediting Bureau of Health Education Schools

ACCREDITING BUREAU OF HEALTH EDUCATION SCHOOLS

7777 Leesburg Pike, Suite 314N, Falls ChurchVirginia22043

Telephone: (703) 917-9503 • FAX: (703) 917-4109

COMMITTEE EXPENSE FORM

NAME:______

ADDRESS:______

______

PHONE:______

Social Security #:N/A EXCEPT if submitting expenses for the first time. See back of form. DATES: ______

LOCATION OF MEETING:______

EXPENSES

AIRFARE:______

HOTEL:______

RENTAL CAR:______

TRAIN/BUS:______

TAXI:______

MEALS:______

*(Not charged to your hotel bill - receipts should include date, location, amount, parties and business purpose)

PARKING:______

GAS:______

TOLLS:______

MILEAGE x .575/MILE: ______

TIPS:______

MISCELLANEOUS: ______

*(Attach telephone & fax details and other receipts)

GRAND TOTAL OF ALL EXPENSES: ______

LESS CASH ADVANCED: ______

HONORARIUM PAID BY ABHES: ______

BALANCE DUE: ______

______

(Signature) (Date)

Paid by: ______Date: ______

*(Receipts must be attached to expense report in support of expenditures.)

EXPENSE GUIDELINES & REIMBURSEMENT

HONORARIA

All committee members who participate in ABHES-related meetings receive an honorarium. Honoraria are paid as follows:

COMMITTEE MEMBERS - $200 per day at the meeting

1ST TIME SUBMITTING EXPENSES? -If you are a new Committee Member and it’s your first time submitting expenses for reimbursement, you will need to complete and submit a Federal W-9 form (for tax reporting purposes) along with your reimbursement expense form and receipts. Reimbursements will not be issued without your personal tax information being provided. (You only need to provide this one-time.)

We are required by IRS to report anyone paid $600 or more in honoraria during a calendar year. If you receive $600 or more in honoraria over the calendar year, you will receive a Form 1099 Misc to be filed with your income tax return. All questions concerning the payment of honoraria should be directed to the ABHES office.

NON-REIMBURSABLE EXPENSES

The following items are not considered reimbursable expenses by ABHES:

1. First class airline tickets (team members should contact the ABHES office for authorization to purchase airline tickets exceeding $600)

2. Additional hotel nights/meals (unless authorized by the ABHES office to curtail high airline expenses, such as a Saturday-night stay)

3. Spouse/guest expenses, including additional hotel room costs

4. Excessive personal telephone calls (defined as more than a few, short calls per day)

5. Valet/dry cleaning services for short visits (2 days or less) or excessive valet/dry cleaning services for longer visits

6. In-room hotel movies

7. Rental cars, unless approved by ABHES staff.

Please keep in mind...

• a committee reimbursement form must be used and submitted with original receipts

• obtaining discounted airfares is encouraged and should be done whenever possible

• hotel or airport shuttle services should be used to get to hotels

• costs of meals should be reasonable and room service kept to a minimum

ALL EXPENSE REIMBURSEMENT REQUESTS ARE DUE WITHIN 30 DAYS OF THE MEETING DATE

Revised 7/2014