Troop 233 & 2233 - Expense Reimbursement Form

Requestor Information

⚠️ IMPORTANT: Reimbursement will be credited to the Requestor's account in Troopweb.

First Name: *

Last Name: *

Email Address: *

Troop Number: *

Event Information

Event Name: *

Event Date: *

Reason / Description: *

Date Expense Report Created:

Purchases

⚠️ Instructions: If you have purchases to report, click "Add Expense" to begin. Each purchase requires a supporting document (receipt). If you're only requesting mileage reimbursement, you can skip this section.

Mileage Reimbursement

Current Rate: $0.625 per mile

⚠️ Instructions: Click "Add Row" to add more mileage line items. If you enter data in one field of a row, all fields in that row must be completed.

Date	Starting Location	Destination	Miles	Action

Total Purchases: $0.00

Total Miles: 0.00

Total Mileage Reimbursement: $0.00

Grand Total: $0.00

Electronic Signature

By signing below, you certify that all information provided is accurate and in accordance with the Scout Law.

Scout Law: A Scout is Trustworthy, Loyal, Helpful, Friendly, Courteous, Kind, Obedient, Cheerful, Thrifty, Brave, Clean, and Reverent.

Type Your Full Name to Sign: *

I acknowledge that I am submitting this expense report truthfully, honestly, to the best of my knowledge, and in accordance with the Scout Law. *

To developed by Sal Mancuso