Expense Form


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DCBA Expense Reimbursement Form

In Adobe Acrobat Format

 

If you are a board member or general member who has incurred personal expenses on behalf of DCBA, and you need to request reimbursement of your expenses, please use this form. DCBA Expense Reimbursement Form. You will need Adobe Acrobat Reader on your computer. Most computers have this program installed by default. If yours does not you may install it at no cost by clicking the "Get Acrobat Reader" icon below.

You may fill this form out within Acrobat and submit it using the Email button. This will open your email program and attach the form to the email. Please email to Larry Johnson. l.johnson@derbycitybop.com . You may wish to save the form to your My Documents folder naming it anything you will recognize. Open your email program and send an email to Larry Johnson using the email address above. Attach the filled out and saved Acrobat file to the email. You will need to submit receipts substantiating your request for funds. If you have a scanner and understand how to scan the receipts to a tiff or jpeg or pdf file, please feel free to do so. Simply attach these images to the email you are using to submit the expense request form. Larry will receive the form and receipt copies via email and prepare your reimbursement.

If you do not have a scanner or if you do not understand how to scan your receipts to one of these image formats, no problem. You have two choices. Open the form in Acrobat and fill out the fields within Acrobat. Print the form with the fields filled in. Give the form and your receipt copies to Larry Johnson for reimbursement. If you wish to speed up this process a bit simply fill out the form and email it to Larry. He will prepare your reimbursement. You will need to give Larry copies of your receipts substantiating your request for reimbursement at the time he provides your check.

Board members who might wish to carry copies of this form may print the blank form. You may fill the form out longhand and give the form and your receipt copies to Larry for reimbursement.

For questions on using this form or scanning your images please feel free to email Jim Brown j.brown@derbycitybop.com.

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Contact Information

If you are interested in contacting us you may do so at the following numbers and addresses.

Postal address
Derby City Bop Association
PO Box 43363
       Louisville, KY 40253-0363
Electronic mail
General Information: info@derbycitybop.com

Send mail to j.brown@derbycitybop.com with questions or comments about this web site.
Copyright © 2007 and 2008  Derby City Bop Association
Last modified: 05/11/08