Wiki_QA__##

This page is read only. You can view the source, but not change it. Ask your administrator if you think this is wrong.
Title: Volunteer Reimbursement Form

Original CoS Document (slug): [[https://conventionofstates.com/files/volunteer-reimbursement-form-1|volunteer-reimbursement-form-1]]

Login Required to view? No

Attached File: COSA_Volunteer_Reimbursement_Form_3.15.24.pdf

Created: 2022-11-29 10:44:48

Updated: 2024-11-30 19:00:00

Published: 2022-11-28 21:00:00

Converted: 2025-04-14T20:08:57.749919717


----


{{:cb_mirror_public:media:files_17952_pdfto001.png?nolink&918x1187 |background image}}
**Date**

**Description/Vendor**

**Amount**

**Receipt**

**Submitted**

//10/01/24 Example: Purchase of 3 Vendor Badges, Lewis Clark Traders//

//$30.00//

**Total:**

**Volunteer Reimbursement Form **

**Instructions:**

• Please provide your contact information in the form below so we know where to send\\
your reimbursement check.\\
• For each reimbursable expense please provide the date, a brief description of the\\
expense including the identity of the vendor, and the amount.\\
• Please confirm that you have attached a receipt for each expense by checking the box\\
marked “Receipt.”  **No expenses will be reimbursed without a receipt.\\
**• Submit your completed reimbursement form along with receipts to\\
Payment@cosaction.com //within one month of the expense date//.

//Ver. 3/15/24//

Name:

Date:

Address: \\
Email:

Phone:

Please note the following: 

It is a best practice to obtain a pre-approval for expenses that you anticipate might need to be\\
reimbursed.  Doing this guarantees that we can make the reimbursement.  To do this, submit a\\
completed COSA Event Payment Request Form.  You can download the form here:\\
https://conventionofstates.com/grassroots-events-forms

✔

$ 0.00

Print

Save As

Clear Form