EWRI
NON-MEETING ACTIVITY EXPENSE AUTHORIZATION & REIMBURSEMENT REQUEST FORM

 



Use this online form when requesting a conference call or authorization for expense reimbursement of an EWRI committee activity other than a meeting. Examples for use of this form include, but are not limited to: conference calls, photocopying and postage.

IMPORTANT: This online form must be submitted prior to any expenditure of funds as the request must be reviewed and approved by EWRI Staff. EWRI Staff will notify you if your request has or has not been approved (Any forms received after expenses are incurred by an individual/committee will not be reimbursed).
 
* Required      
Requesting Person *
Email Address *
Committee/Council Name *
Parent Committee/Council *

Activity Type (Please check one):
Conference Call * : (Yes (No
If yes, please provide:  
1) The number of participants *
2) Conference Call Date & Times *
Month Day Year Start Time End Time
 
If no, provide type of non-meeting
activity reimbursement request * :

Description of Activity *
Priority of Activity (per PAES worksheet) *
Requested Amount * $
Description of Expenses (provide an itemized list) *
List of EWRI Members who will be requesting authorization for expense reimbursement *


By signing below you agree that the information provided in this form is correct and accurate.
Date * Signed by: *
  (mm/dd/yyyy)