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MML Trustees Expense Reimbursement Form
MI Municipal League Board of Trustees Expense Reimbursement Forms
Date
*
Name
*
Name
First Name
First Name
Last Name
Last Name
Email
*
Address
*
Address
Address
Address
City
City
State/Province
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Alaska
Arkansas
Arizona
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
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Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State/Province
Zip/Postal
Zip/Postal
Municipality
*
Reimbursement Payable To:
*
Individual
Organization
Travel Date Started
*
Purpose of Travel
*
Mileage Expense
Total Miles Driven
Less first 100 Miles Driven
Reimbursable Miles Driven
2024 IRS Mileage Rate
Total Mileage Expense
Meals
Date
Meal Type
Breakfast
Lunch
Dinner
Amount
$
plus1
Add
minus1
Remove
Total Meals
Miscellaneous Travel Fees (Parking, Taxi, Etc)
Description
Amount
$
plus1
Add
minus1
Remove
Total Misc Expenses
Total
Total Reimbursement
Acknowledgement
Signature – I certify that the above expenses were all incurred while conducting League business in accordance to any applicable travel polices set forth by the Michigan Municipal League and have provided any applicable receipts as support to my reimbursement.
*
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File Upload – All expenses over $20 requires supporting receipts.
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