Expense Reimbursement Form Version 05 -02 13 - projecthealingwatersdenver 2026

1. Click ‘Get Form’ to open the Expense Reimbursement Form in the editor.
2. Begin by filling out the mandatory fields at the top of the form, including your Name, Address, City, Phone, PHWFF Program, State, ZIP, and Email. Ensure all information is accurate for processing.
3. In the 'Travel to' section, specify your destination and provide a detailed 'Reason for Claim'. This helps clarify the purpose of your reimbursement request.
4. For travel claims, enter the Date of travel and select the type of claim. Attach receipts for any costs over $25.00 related to air, train, bus, rental car fuel, lodging, meals, etc.
5. If claiming personal vehicle fuel costs for trips over 50 miles one way, indicate Miles Driven and choose between IRS Rate or Actual Fuel Cost options. Fill in necessary details accordingly.
6. Complete any Purchase Claims by entering relevant dates and attaching receipts for items purchased like rods or office supplies.
7. After filling out all sections, sign and date where indicated. Finally, email your completed form along with scanned receipts to your superior or mail them directly.

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