Expense Report Form - Usa Gymnastics Page 2

Additional Comments:

_____________________________________________________________________

Instructions:

1. Sign and date expense report.

2. Be sure to include a mailing address.

3. Include all receipts for expenditures listed. Undocumented receipts will not be

reimbursed. Staple all receipts to underneath side of upper left-hand corner.

4. If you are requesting mileage reimbursement a mapquest map (or equivalent) must be

attached. If you report your odometer readings a mapquest map must be attached. If you do

not report your odometer readings a mapquest map must be attached.

5. Retain a copy of all that you submit for yourself.

6. Mail expense form (with attachments) to:

USA Gymnastics

132 E. Washington St., Suite 700

Indianapolis, IN 46204

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Parent category: Business