This is a testing playground. How did you find this anyways? Expense Reimbursement1Who are you2Your details3Type4Expense Deatils5Travel Costs6Goods/Services Costs7SubmitName(Required) First Last F3 Name(Required)Region(Required)Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email(Required) Phone(Required)Expense Type(Required)Select One...F3 SLTGrowRuckTRUEbadorsWas this Pre-Approved?(Required) Yes NoProvide a PDF or Image of the approval(Required)Accepted file types: jpg, gif, png, pdf, Max. file size: 16 MB.What type of expense is this?(Required) Goods Services TravelRequest Title/Name(Required)Give this request a descriptive but short title. (i.e. GrowRuck 25 travel for CSD, lunch for meeting 1/1/2020)Purpose of Good/Service Purchased(Required)Purpose of travel(Required)Purchase Date(Required) MM slash DD slash YYYY State Date(Required) MM slash DD slash YYYY End Date(Required) MM slash DD slash YYYY FlightDid you fly?(Required) Yes NoCost of Flight(Required)Flight Receipt(Required)Accepted file types: jpg, gif, png, pdf, Max. file size: 16 MB.Rental CarDid you Rent a car?(Required) Yes NoCost of Rental(Required)Rental Car Receipt(Required)Accepted file types: jpg, gif, png, pdf, Max. file size: 16 MB.Personal CarDid you incur reimbursable miles on a person vehicle??(Required) Yes, and I want to expense it No Yes, but no reimbursement neededNumber miles driven(Required)Cost of Calculated Mileage ReimbursementRide ShareDid you take a Taxi or Ride-Share?(Required) Yes NoCost of Ride Share(Required)Ride Share Receipt(Required)Accepted file types: jpg, gif, png, pdf, Max. file size: 16 MB.HousingDid you stay in a hotel/AirBNB?(Required) Yes NoCost of Housing(Required)Housing Receipt(Required)Accepted file types: jpg, gif, png, pdf, Max. file size: 16 MB.Group MealsDid you pay for a group meal?(Required) Yes NoIf multiple, just combineCost of Group Meal(s)(Required)Group Meal Receipt(Required) Drop files here or Select filesAccepted file types: jpg, gif, png, pdf, Max. file size: 16 MB.Meal AllowanceDo you want to claim a 1 time meal allowance?(Required) Yes NoCost of AllowanceOtherDo you have any other costs? Yes NoThis is anything that doesn't fit into the above categories. Please note, anything outside of the above categories may not be reimbursed.Cost of Other ItemsOther Cost Receipts Drop files here or Select filesAccepted file types: jpg, gif, png, pdf, Max. file size: 16 MB.Cost of Good/Service purchased(Required)Receipt of Good/Service purchased(Required)Max. file size: 16 MB.jpg, gif, png, pdfTotal Reimbursement RequestAnything else we need to know
