Tennessee Counseling Association

Travel and Expense Reimbursement Form

Name:

Position:

Address:

 

Telephone #

*Please Attach All Supporting Documentation*

 

Date

Description of Reimbursement

$Amount

Account #

 

Round trip Mileage:                                                                       

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Total to be

 

 

Reimbursed

 

I, the undersigned, hereby certify that all expenses reported above were properly incurred, within TCA. division/organizational affiliate, or chapter policies, and are accurate to the best of my knowledge.

 

 

       Signature                                                                                        Date

            Jan Turner                                                                             John Mitchell

    TCA President                                                                           TCA Treasurer

                                                                                                  

Mail to:                                                                                                                                        

John Mitchell                                     Check #:_______________________

5327 Brantford Road                                    

Memphis, TN 38120                          Date Paid:______________________

901-229-8303

 

Per Diem:                                                  Per Diem Guidelines:

Breakfast $7.50

Depart home prior to 9 am/ BLD

Arrive home 6 – 11 am/B

Lunch: $9.50

Depart home 9 am – 2 pm/ LD

Arrive home 11am – 5 pm/ BL

Dinner: $25.00

Depart home after 2 pm/ D

Arrive home after 5 pm/ BLD

Mileage/ 40 cents/mile

Full day of travel/ BLD

 

 

 

Account Numbers:

                                                                   2200 President

2000 Conference Expenses                                          2205 President Elect

            2001 Meals/Snacks                                          2210 President Elect Elect

            2002 Speaker Fees                                          2215 Past President

            2003 Decorations                                             2220 Secretary

            2004 Entertainment                                           2225 Treasurer

            2005 Agendas/Portfolios                                  2230 Fiscal-Strategic Planning

            2006 Refunds                                                   2235 Human Rights/Ethics

            2007 TSCA/TMHCA Luncheons                     2240 Advocacy

            2008 Audio/Visual                                                        2241 Lobbyist

            2009 Gifts/Honorariums                                                2242 Misc. Expenses

            2010 Oversight                                     2245 Publications

            2011 Conference Registration                                       2246 Postage

            2012 Pre-Con/Luncheon refunds                                  2247 Printing

            2013 Hotel                                                                   2248 TCA Journal

            2014 Badges                                                    2250 Archives

            2015 Security                                                   2255 By-Laws

            2016 Misc. Expenses                                                   2256 By-Laws Handbook

            2017 Printing/Postage                                                   2257 Expenses & Supplies

            2018 Returned Ck Fee

             2019 Attendee Gift Items                                          2260 Legislative & Licensure

2020 Membership Expenses                                                     2261 Legislative Supplies

            2021 Overpayment/refunds                                           2262 Misc. Expenses

            2022 Return Ck Fees                                       2265 Technology

            2023 Postage                                                               2266 Domain Name

            2024 Equipment/Printing                                               2267 Hosting Fee

            2025 Bank Chrg-Service Fees                          2268 Misc. Expenses

            2026 Fundraising/Misc. Expenses                     2270 Grants

            2027 Data Processing                                                   2271 Gifts

2030 ACA Conference Expenses                                 2275 Tax Preparations

            2031 ACA Registration                                                2276 Tax Exempt

            2032 ACA Lodging                                                      2277 IRS Expenses

            2033 Meals                                                      2280 Awards

            2034 Mileage/Airfare                                                    2281 TCA Awards

            2035 ACA Misc.Expenses                                           2282 ACA Awards

2040 ACA Southern Region Expenses              2285 Public Relations

            2041 Registration                                             2300 Executive Council Meetings

            2042 Lodging                                                               Lodging: LDC 2311/Nov.2322

            2043 Meals                                                                  Spring 2331/ Misc. 2341

            2044 Mileage/Airfare                                                    Meals: LDC 2312/Nov.2323/

2045 Misc. Expenses                                                   Spring 2332/ Misc. 2342

2100 Executive Director Salary                                     Mileage: LDC 2313/Nov. 2324

2110 Executive Director Expenses                                            Spring 2333/Misc. 2343

            2111 Conference Registration                                       Misc. Exp.: LDC 2314/Nov.2325

            2112 Lodging                                                               Spring: 2334/Misc. 2344

            2113 Meals

            2114 Travel

            2115 Misc. Supplies

            2116 Planning

            2117   Internet/Telephone/Fax/ 800 #

2120 Discretionary