NORTHERN TEXAS-NORTHERN LOUISIANA SYNOD
EXPENSE REPORT
P.O. BOX 560587 DALLAS TEXAS 75356-0587 (214) 637-6865
Submitter Email address
Payee     
Address
 Date 
Day Phone 
Instructions: Mail receipts (including fare receipts). Expenses paid by personal charge account or cash. Enter 0 if there is no amount, don't leave required fields blank.
  1. Include meals while enroute as well as during meeting. Moderation in cost of meals is expected. Synod policy maximum reimbursements are $10 breakfast, $10 lunch, $15 dinner. No Alcoholic beverages are to be included.
  2. Hotel/Motel expenses should be based on double occupancy in moderately prices (Synod policy suggests $50 per night single maximum). Be sure tax exemption is secured.
  3. All public transportation fares are reimbursed at cost, PROVIDED LOWEST POSSIBLE FARES ARE SECURED.
  4. In addition to 15¢/mile for car, an additional 2¢ is allowed for each additional passenger. i.e. other persons from your area participation in the meeting.
Description to
appear on check stub 
Date of expense
Staff/Commission/
Committee/Board/
Task Force or
nature of event

If you enter values in the green-colored fields below, 
please enter Numbers only.
Miles driven
(Own car)		  
self    self & passenger    self & passengers    Synod Staff
Tolls and parking
Meals including tips
Hotel/Motel
Plane/Bus/Train
Honorarium
Local Fares
Telephone
Gratuities
Postage
Printing/Xeroxing
Other    (please explain)
Deduct
Explain Deduction
Deduct
(travel advance)
Budget Account
(if known)
enter a 0 in required fields that are blank
 

 

home | contact us | bulletin board | photogallery | congregations | top