Expense Reports – Idaho Al-Anon/Alateen

Expense Categories(Required)

Assemblies & Meetings

Incidentals - Coordinators

Incidentals - Officers

Alateen

Other Categories

Select the Category or Categories for Your Reimbursement Request

Reimbursement Method(Required)

Check

PayPal

Venmo

Zelle

Reimbursement By Check

Your check will be mailed to the Address Below using the Pony Express.

PayPal Email Address

Venmo Name

Zelle Tag

Today's Date(Required)

Full Name(Required)

First Last

Phone(Required)

Your Phone #

Email(Required)

Your Email

Submit Request To:(Required)

Area or District?

Address(Required)

Street Address Address Line 2 City State ZIP Code

Assembly & Meetings

Date of Expense(Required)

Description of Assembly & Meeting Expenses(Required)

Select the Expense Description

Amount - Assembly & Meetings(Required)

Please specify 'Other' expense(Required)

Upload Receipts(Required)

Drop files here or

Accepted file types: jpg, jpeg, png, pdf, Max. file size: 10 MB.

Incidentals - Coordinators

Date of Expense(Required)

Description of Coordinator Incidental Expenses(Required)

Select the Expense Description

Amount - Incidentals Coordinator(Required)

Enter Amount of Reimbursement

Please specify 'Other' expense(Required)

Upload Receipts(Required)

Drop files here or

Accepted file types: jpg, jpeg, png, pdf, Max. file size: 10 MB.

Incidentals - Officers

Date of Expense(Required)

Description of Officer Incidental Expenses(Required)

Choose the Expense Type

Amount - Incidentals Officers(Required)

Please specify 'Other' expense(Required)

Upload Receipts(Required)

Drop files here or

Accepted file types: jpg, jpeg, png, pdf, Max. file size: 10 MB.

Alateen

Date of Expense(Required)

Description of Alateen Expenses(Required)

Amount - Alateen(Required)

Please specify 'Other' expense(Required)

Upload Receipts(Required)

Drop files here or

Accepted file types: jpg, jpeg, png, pdf, Max. file size: 10 MB.

Other Categories

Date of Expense(Required)

Description of Other Category Expenses(Required)

Choose the Expense Type

Amount - Other(Required)

Please specify 'Other' expense(Required)

Upload Receipts(Required)

Drop files here or

Accepted file types: jpg, jpeg, png, pdf, Max. file size: 10 MB.

Total & Submission

Grand Total

Reimbursement Total

NOTE:

⚠️ Wait until you see the trash can icon appear next to your uploaded file before clicking Submit!