Iowa Emergency Nurse’s Association
REIMBURSABLE EXPENSE ACCOUNT
Expense Incurred by: ___________________________________________________________
Complete Address: ____________________________________________________________
Purpose and Date(s): ___________________________________________________________
I certify that this is a true statement of my expenses incurred on official business for the State Emergency Nurse’s Association. (Please attach receipts)
Signature: _____________________ Date: ___________________
Travel Expense Guidelines
INSTRUCTIONS: PLEASE BE GUIDED BY LIMITATIONS LISTED ON THIS FORM
This form is designed to provide for seven days of expenses. The first column is provided for the first day, etc., until a full week is ended or the trip is completed. Please enter dates at the head of the appropriate column.
Itemized receipts are to be attached. This includes hotel bills in all cases. Under hotel only the actual cost of lodgings is to be entered. Other items on the hotel bill must be entered in the appropriate place.
Authorized travel expenses incurred on ENA business will be reimbursed by the State ENA Council according to the following restrictions: