Expense Approval Request Form

To be reimbursed by the LaMissTenn District, an Expense Approval Request (below) must be submitted AND approved by the District Executive Director BEFORE the expense is incurred.

LaMissTenn District Expense Approval Request

Name(Required)
Address(Required)
Organization:(Required)
Please describe the time, place, etc. that the expenses are related to including specific names of groups, organizations, locations, etc.

EXPENSES

Please enter each anticipate expenses for approval separately below. For mileage, please enter the number of miles in an “Expense Amount” box and describe the travel associated in the respective “Expense Detail” box.
Has this expense(s) been approved by the applicable SLP (Service Leadership Program; e.g., Key Club, Circle K, etc.) District Administrator?(Required)
Enter amount of specific item requested to be reimbursed.
Enter short description of specific item requested to be reimbursed associated with Expense Amount 1.
Enter amount of specific item requested to be reimbursed.
Enter short description of specific item requested to be reimbursed associated with Expense Amount 1.
Enter amount of specific item requested to be reimbursed.
Enter short description of specific item requested to be reimbursed associated with Expense Amount 1.
Enter amount of specific item requested to be reimbursed.
Enter short description of specific item requested to be reimbursed associated with Expense Amount 1.
Enter amount of specific item requested to be reimbursed.
Enter short description of specific item requested to be reimbursed associated with Expense Amount 1.
Max. file size: 100 MB.
Provide any screenshots or pictures you have to support the expense amounts identified above. If you have any issues with uploading, you may submit to districtoffice.lamisstenn.org
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