Expense Reimbursement

Shetland Sheepdog Club of Northern California

Our club recognizes the indispensable role our members play. We value your contributions and wish to express our gratitude for your commitment. Members often take charge in organizing events and generously use their own funds. We acknowledge the personal sacrifice involved and applaud your efforts to elevate our club events.

The Treasurer will review your expenses in a timely manner. Once receipts have been reconciled, reimbursement payments will be issued around the first or fifteenth of the month.

Form available on full-size device only.

Expense Reimbursement Form

Date of Submission

Event/Purpose of Expense

Event/Purpose:

Event Date:

Remittance Method

Select Remittance Method:

Check

PayPal

Make Check Payable to:

PayPal Account Name/ID

Club Member Information

Payee:

Address

City

State

Zip Code

Phone/Mobile

Expense Items

Date

Merchant Name

Purchase Description

Cost

Tax / S&H

Total Amount

Date 2

Merchant Name 2

Purchase Description 2

Cost 2

Tax / S&H 2

Total Amount 2

Date 3

Merchant Name 3

Purchase Description 3

Cost 3

Tax / S&H 3

Total Amount 3

Date 4

Merchant Name 4

Purchase Description 4

Cost 4

Tax / S&H 4

Total Amount 4

Date 5

Merchant Name 5

Purchase Description 5

Cost 5

Tax / S&H 5

Total Amount 5

Date 6

Merchant Name 6

Purchase Description 6

Cost 6

Tax / S&H 6

Total Amount 6

TOTALS

Total Unit Cost

Total Tax/Other

Total Amount Due

Receipts:

Please attach receipts to this form using the image or scan file buttons below.

Alternatively, receipts may be mailed to the Treasurer. Please note, expenses will not be paid until the receipts are received and reconciled which may delay reimbursement.

Mail Receipts to: SSCNC, c/o Rachael Shaffer, Treasurer, 995 Kottinger Drive, Pleasanton, CA 94566

Any Questions? Call/Text (925) 989-9933

File Upload

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Image Upload

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Receipts:

Mailed

Hand Delivered

Approved by:

Date / Time

Notes:

All requests for reimbursement must be provided to the Treasurer within 30 days of the expense being incurred.

All requests for reimbursement must have the receipts attached.

Expenditures must be preapproved by the SSCNC Board and be within the defined budget.