Oregon Nurses Association

January 1, 2013

Oregon Nurses Association

Expense Reimbursement Request (members)

All Expenses are due no later than the 10th of the month following incurred expense

Date / Dept / Location / Reason / Meals / Hotel / Telephone / Copies / Miles / Other
Totals

(See Reverse side of this form for reimbursement policies)

For Accounting Use:

Account # / $ Amount / Account # / $ Amount

1

Total Miles @ $.565 per mile

Total expenses

Check amount $

Name: ______Approved:______

(print)

Signature:

Address ______

______

ONA REIMBURSEMENT POLICIES & INSTRUCTIONS

2013

GENERAL INFORMATION

A.  Expense vouchers must be submitted no later than the 10th of the month after expense occurs.

B.  Unsubstantiated expense item(s) will not be honored. Amounts in excess of those approved will be paid by the individual.

C.  All original receipts should be stapled to the voucher. Receipts are not required for baggage tips. Extraordinary expenditures should be explained. Hotel bills are considered receipts for all expenditures listed therein.

D.  All travel is approved by the ONA executive staff. Advance travel funds will be provided if applied for 10 days in advance of date for which the funds are requested.

E.  ONA does not pay for alcoholic beverages.

F.  Complete form with expenses listed by day.

I. INTRASTATE TRAVEL

A.  Transportation

1. Airline travel -- at tourist or economy rates: at least 14 days advanced booking required. (Receipt required).

2. Auto -- at $.565 per mile & parking (car owner reimbursed if two or more members travel together).

3. Limousine or taxi -- to and from airports. (Receipt required)

4. Bus or subway…no receipt required.

B.  Meals -- the actual substantiated cost with a maximum of $52.00 per day, including Gratuities. Detailed receipt required.

C.  Lodging --- at lowest available rate.

D.  Daycare----Daycare will be reimbursed at a rate up to $30.00 per day for non-family daycare. (Receipt required)

II.  INTERSTATE TRAVEL

A.  Transportation

1. Airline travel -- at tourist or economy rates: at least 14 days advanced booking (Receipt required)

2. Limousine or Taxi to and from airports -- at cost. Receipt required

B.  MEALS--$52.00 per day including gratuities depending on IRS city maximum. Detailed receipt required.

C.  Lodging—at the lowest available rate