Cal Climbing Reimbursement Form

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Cal Climbing Reimbursement Form
Name:________________________________
Phone:________________________________
E-mail:________________________________
Event:_______________
Date:__________
Reimbursable items (if applicable, provide store where item was bought)
____________________________________________________________
$__________
____________________________________________________________
$__________
____________________________________________________________
$__________
____________________________________________________________
$__________
____________________________________________________________
$__________
____________________________________________________________
$__________
____________________________________________________________
$__________
Total
$__________
Please attach all receipts listed on form.
USA Climbing Membership ($25) reimbursed if competed in two or more CCS competitions in a
season
Gas reimbursed for team-sanctioned outdoor trips or/and CCS competitions (up to $50 per car).
Must have a total of 3 or more Team members in the car to be eligible.
For gas reimbursement: find the distance from the meeting location to the event location then
multiply by “2” to get the round-trip distance. Multiply the total number of miles by $0.30. No
receipt necessary for gas reimbursements.
For all other reimbursements, seek pre-approval from the officers
(cal_climbing_officers@lists.berkeley.edu)
In order to be reimbursed, all receipts and forms must be turned in within 60 days of the trip
Trip Leader/Driver Signature: ________________________
Approved by: ______________________
_________________________
Treasurer
President

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