Documents & Forms
B. YLD Reimbursement Request Form (see below)
(must be printed and submitted)
Meeting Related Expenses: __________________________________
Location and Dates of Meeting: _______________________________
Transportation
Air, Train or Bus (attach voucher) Type of fare: __________________
Other (attach voucher) Explain: ______________________________
Transportation between hotel and airport (attach receipts)
Lodging and Meals
Lodging: ___________ Nights @ $_______
(attach receipts) __________
Food Expense: ___________ Days and ________ Nights
(attach receipts) _________
Total Meeting-related Expenses
______________________________________________________________
Committee Related Expenses: ______________________________________
Explain and attach receipts _________________________________________
Total Committee Expenses: ________________________________________
_______________________________________________________________
Amount Reimbursed/Paid By Other Sources: $__________
Total Reimbursement Requested:
Make check payable to: (please print or type)
Name: ____________________________________
Address: _______________________________________________________
_______________________________________________________________
I request reimbursement from the YLD for actual expenses incurred as reflected on this form.
_______________________________________________________________
Signature Date
Amount approved by President in accordance with the budget:
$____________
_______________________________________________________________
President, Young Lawyers Division YLD Staff Liaison
Date: _________
Charge to: _______________