TRAVEL EXPENSE CLAIM Calendar Year 2020
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Payable to (Print)
First Middle Last
Street Address
City State Zip
Name of Committee or Activity
Location of Meeting
Date of Meeting
Regular Committee Special Funding Activity Number
DATE
HONORARIUM
(Professional Fee)
MILEAGE
(57.5¢ per mile)
AIR*
MEALS *
HOTEL*
SURFACE TRAVEL*
(Parking, Taxi, etc…)
OTHER*
Miles x 57.5¢=
$
Miles x 57.5¢=
$
Miles x 57.5¢=
$
Miles x 57.5¢=
$
Miles x 57.5¢=
$
Miles x 57.5¢=
$
Miles x 57.5¢=
$
Sub-
Totals
$
$
$
$
$
$
$
TOTAL OF REIMBURSEMENT REQUEST $
.
(*NO REIMBURSEMENT FOR THESE CATEGORIES WITHOUT ITEMIZED RECEIPTS)
I hereby certify that the above is a true statement of travel expenses incurred by me in accordance with the current expense policy of ACSA
and that all items shown were for official business of the association and that no expenses herein claimed were received or paid from other
sources.
Signature Date
(Claim must be signed before it can be processed)
Approval of Chairperson (or Coordinator) Date
Approval of Committee Staff Liaison Date
Association of California School Administrators
1575 Bayshore Highway, Burlingame CA 94010
Phone (800) 608-2272, Financial Services Fax (650) 259-1029
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TRAVEL EXPENSE CLAIM FORM
INSTRUCTIONS (Revised by Board: February 2014)
GENERAL This form is to be used by individuals traveling on ACSA business. In order to expedite your claim,
please follow the steps below:
1) Sign the expense claim after completing form and attaching itemized receipts.
2) Submit for approval to the committee chair/ council president immediately after
each trip.
3) The chair/ president will then forward the claim to ACSA's Business Office in
Burlingame.
4) Out-of-state travel must be approved in writing in advance by the Executive Director
before any out-of-pocket expenses will be reimbursed.
5) Prior to submitting, retain a copy for your records.
All expense claims should be submitted within five working days from the time incurred in order to be reimbursed
on a timely basis.
RECEIPTS FOR ALL EXPENSES MUST BE ATTACHED
TO THE EXPENSE VOUCHER
AIR TRAVEL Air Travel should be used only if it’s the least expensive way to travel. It is most cost effective to book
flight reservations early. Therefore, ACSA asks that you book your flight at least one month in
advance in order to obtain the lowest fare. First class or business class seat selections on flights will
not be reimbursed.
RENTAL Rental Cars should be utilized in cases where it’s more economical than air travel or mileage
reimbursement. Select the most economical vehicle available. Gasoline costs for rental cars only (vs.
personal vehicle) will also be reimbursed.
MILEAGE Mileage will be reimbursed by the rate determined by ACSA and should not exceed the comparable air
travel rate and/or cost of a rental car. Mileage will also be reimbursed to and from the airport if you do
fly.
LODGING Lodging should be chosen at properties where special ACSA room rates have been established.
Reimbursement for overnight hotel accommodations is authorized only if the meeting is
more than one day or if travel arrangements necessitate staying overnight and need to be
approved in advance by the Council President and/or Staff Liaison.
MEALS While traveling on ACSA business, reasonable expenses for meals will be reimbursed with a copy of
receipts for each meal. Per IRS requirements, please note on the back of the receipt the names in your
party and the business purpose of the meal.
OTHER For incidentals such as postage; bridge tolls and gratuities other than for meals, receipts for $25 or
more are required. An explanation must be provided on the expense report as to the nature of the
expense.
THE FOLLOWING EXPENSES WILL NOT BE REIMBURSED:
* Early Check-In for Flights and/or Hotel Rooms *First or Business Class Seat Selection on Flights
*Limousine Service *Hotel Mini-Bar Items
*Hotel Movie Rentals *Hotel Spa Services *Hotel Laundry Services
*Any Personal Expenses
4/03/14 rs