Reimbursement Request for WSBC Expenses

For use by Intergroups to be reimbursed for expenses associated with sending its Delegates to the WSBC

Instructions: Complete and submit this form for reimbursement; fields with * are required. Please upload scans or photos of all applicable receipts near the bottom, or email them to the treasurer. Please include a copy of the email from Region 7 indicating that funding was approved, or forward it to the treasurer.
Reimbursement requests without receipts will not be honored.

Your Name:*

Your Email:*

WSBC Dates:*

Upload a scan or photo of your receipts:Please combine multiple receipts into one document if possible, or up to two additional files. Alternatively, you can email your receipts to the Region 7 Treasurer separately.

Lodging1/4 room-double occupancy for 5 nights maximum

Amount:*

Meals$50 per day per delegate - 5 days maximum

Amount:

Airfare1/2 cost of round-trip - $250 maximum

Amount:

Other Expenses:

Amount:

TOTAL REIMBURSEMENT REQUEST:

Amount:

Intergroup Treasurer Email:*

Any special instructions for the Region 7 Treasurer?

Submit Reimbursement Request