Expense form printable
GCFMA, INC. EXPENSE REIMBURSEMENT FORM
CHECK AMOUNT:____________________________DATE:_____________________
BUDGET CATEGORY_________________________CHAIRMAN:_________________
CHAIRMAN SIGNATURE:______________________________________
MAKE CHECK PAYABLE TO:
__________________________________________________________________
SEND CHECK TO: __________________________________________________________________
ADDRESS: _________________________________________________________
EXPENDITURES:
_______________________________________ $ _______________
_______________________________________ $ _______________
_______________________________________ $ _______________
_______________________________________ $ _______________
_______________________________________ $ _______________
_______________________________________ $ _______________
_______________________________________ $ _______________
_______________________________________ $ _______________
_______________________________________ $ _______________
_______________________________________ $ _______________
_______________________________________ $ _______________
_______________________________________ $ _______________
TOTAL $ _______________
CHECK # ____________ DATE __________________
ACCOUNT # __________________________________
1. All original bills should be stapled to this sheet (no loose paper)
2. Chairman may not exceed their budget without approval of the Finance Committee and the
Executive Board.
3. All bills must be submitted prior to March 31st
4. Prepare in duplicate and keep one copy for your records.