PURPOSE
PRINCIPAL PURPOSE(S): To provide an automated means for computing Mileage and Expense Reimbursement(s) for individuals that incur
expenses for official Pokagon Band business purposes and to account for such payments.
DISCLOSURE: Reimbursement for Mileage and Expenses incurred on official Pokagon Band business is voluntary; however, failure to furnish the
requested information may result in total or partial denial of the amount claimed.
PENALTY: Penalties for submission of false claims for reimbursement may include, but are not limited to, termination of employment or removal
from office, in addition to potential criminal or civil penalties.
INSTRUCTIONS
REQUIRED ITEMS:
Travelers Name
Travelers Address
Date
Travelers Signature
Authorization Signature
Digital email signatures are an acceptable form of signature.
REQUIRED ATTACHMENTS:
1. Driving directions from MapQuest or Google Maps
or other similar route planner for actual business
miles driven. (if applicable)
2. Receipts for any item of expense claimed.
3. Other attachments will be as directed.
DEFINITIONS:
Travel Purpose – Departure and Arrival Destinations.
Include business purpose for travel.
(i.e. New Buffalo to Hartford, PGA Meeting)
Vehicle Personal/GSA Available
Personal – travel in privately owned vehicle as
the owner/operator of the vehicle. GSA
vehicle is not
available.
GSA Available – travel in privately owned vehicle
as the owner/operator of the vehicle. GSA is
available.
Mileage – Actual miles driven in accordance with route
planner. (i.e. MapQuest, Google Maps)
Parking – Fees for parking.
Other – Additional expenses incurred on official
Pokagon Band business. (i.e. postage, tolls,
administrative supplies)
Once the form has been completed select the appropriate department from the “Select Department” dropdown in the upper
right corner of the form. Next, select the “SEND” button. An email box will appear with the form as an attachment. At this
time attach any additional required documentation and select the email icon “SEND.”
***PASSENGERS ARE NOT ENTITLED TO CLAIM MILEAGE***
